| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.02 | $46.73 | $51.61 | |
Anthem BCBS
| Facility | $56.18 | $56.18 | $56.18 | |
Anthem BCBS
| Professional | $39.70 | $60.59 | $96.54 | |
CareSource
| Facility | $56.18 | $81.45 | $89.89 | |
Cigna
| Professional | $26.22 | $26.22 | $26.22 | |
Kaiser Permanente
| Professional | $44.94 | $56.18 | $89.89 | |
Oscar Health
| Professional | $35.00 | $58.92 | $263.20 | |
United
| Professional | $18.68 | $27.25 | $46.71 |