| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.79 | $34.01 | $42.94 | |
Anthem BCBS
| Facility | $40.82 | $40.82 | $40.82 | |
Anthem BCBS
| Professional | $28.85 | $44.03 | $70.14 | |
CareSource
| Facility | $40.82 | $59.19 | $65.31 | |
Cigna
| Professional | $19.59 | $19.59 | $19.59 | |
Kaiser Permanente
| Professional | $32.65 | $40.82 | $65.31 | |
Oscar Health
| Professional | $35.00 | $42.81 | $191.24 | |
United
| Professional | $13.58 | $19.52 | $29.42 |