| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.79 | $46.33 | $54.28 | |
Anthem BCBS
| Facility | $57.26 | $57.26 | $57.26 | |
Anthem BCBS
| Professional | $40.47 | $60.96 | $98.40 | |
CareSource
| Facility | $57.26 | $83.03 | $91.62 | |
Cigna
| Professional | $25.82 | $25.82 | $25.82 | |
Kaiser Permanente
| Professional | $45.81 | $57.26 | $90.00 | |
Oscar Health
| Professional | $35.00 | $60.06 | $268.26 | |
United
| Professional | $19.04 | $26.83 | $40.42 |