| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.75 | $61.20 | $68.51 | |
Anthem BCBS
| Facility | $75.98 | $75.98 | $75.98 | |
Anthem BCBS
| Professional | $53.69 | $81.56 | $130.57 | |
CareSource
| Facility | $75.98 | $110.17 | $121.57 | |
Cigna
| Professional | $34.54 | $34.54 | $34.54 | |
Kaiser Permanente
| Professional | $60.78 | $75.98 | $90.00 | |
Oscar Health
| Professional | $55.00 | $79.70 | $355.97 | |
United
| Professional | $25.27 | $35.90 | $54.09 |