| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.52 | $616.13 | $8,799.74 | |
Aetna
| Professional | $189.02 | $224.20 | $333.76 | |
Anthem BCBS
| Facility | $420.14 | $588.20 | $1,541.91 | |
Anthem BCBS
| Professional | $223.64 | $349.33 | $670.71 | |
CareSource
| Facility | $346.67 | $357.12 | $777.26 | |
CareSource
| Professional | $357.12 | $357.12 | $357.12 | |
Cigna
| Facility | $233.26 | $233.26 | $233.26 | |
Cigna
| Professional | $170.28 | $170.28 | $498.66 | |
Kaiser Permanente
| Professional | $319.31 | $420.14 | $583.39 | |
Oscar Health
| Professional | $519.42 | $714.24 | $792.80 | |
United
| Professional | $139.72 | $209.60 | $349.33 |