| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.48 | $224.48 | $654.85 | |
Aetna
| Professional | $205.00 | $224.73 | $323.33 | |
Anthem BCBS
| Facility | $374.81 | $524.73 | $1,375.55 | |
Anthem BCBS
| Professional | $327.38 | $467.63 | $821.62 | |
CareSource
| Facility | $270.44 | $374.81 | $716.51 | |
CareSource
| Professional | $318.58 | $318.58 | $318.58 | |
Cigna
| Facility | $382.03 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $278.88 | $426.00 | |
Kaiser Permanente
| Professional | $256.72 | $374.81 | $903.00 | |
Oscar Health
| Professional | $460.68 | $637.17 | $712.12 | |
United
| Professional | $193.08 | $289.62 | $454.34 |