| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.72 | $386.55 | $766.00 | |
Aetna
| Professional | $154.16 | $182.86 | $258.02 | |
Anthem BCBS
| Facility | $342.66 | $479.72 | $1,257.56 | |
Anthem BCBS
| Professional | $182.69 | $284.92 | $651.90 | |
CareSource
| Facility | $282.77 | $291.26 | $633.91 | |
CareSource
| Professional | $291.26 | $291.26 | $291.26 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $215.74 | $395.25 | |
Kaiser Permanente
| Professional | $260.42 | $342.66 | $476.04 | |
Oscar Health
| Professional | $423.64 | $582.52 | $646.59 | |
United
| Professional | $113.97 | $170.95 | $282.05 |