| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.55 | $44.55 | $51.42 | |
Aetna
| Professional | $43.32 | $47.67 | $55.31 | |
CareSource
| Facility | $63.12 | $63.12 | $63.12 | |
Cigna
| Facility | $65.03 | $65.03 | $65.03 | |
Cigna
| Professional | $49.10 | $49.10 | $114.46 | |
Kaiser Permanente
| Professional | $53.98 | $53.99 | $163.08 | |
Oscar Health
| Professional | $106.90 | $131.50 | $131.50 | |
United
| Professional | $52.28 | $69.12 | $109.25 |