| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.02 | $47.56 | $54.07 | |
Anthem BCBS
| Facility | $59.04 | $59.04 | $59.04 | |
Anthem BCBS
| Professional | $41.73 | $58.86 | $101.47 | |
CareSource
| Facility | $59.04 | $85.61 | $94.46 | |
Cigna
| Professional | $24.93 | $24.93 | $24.93 | |
Kaiser Permanente
| Professional | $47.23 | $59.04 | $90.00 | |
Oscar Health
| Professional | $35.00 | $61.93 | $276.60 | |
United
| Professional | $19.64 | $26.75 | $39.93 |