| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.77 | $66.95 | $73.17 | |
Anthem BCBS
| Facility | $83.57 | $83.57 | $83.57 | |
Anthem BCBS
| Professional | $59.06 | $87.83 | $143.61 | |
CareSource
| Facility | $83.57 | $121.18 | $133.71 | |
Cigna
| Professional | $37.20 | $37.20 | $37.20 | |
Kaiser Permanente
| Professional | $66.86 | $83.57 | $90.00 | |
Oscar Health
| Professional | $55.00 | $87.65 | $391.53 | |
United
| Professional | $27.79 | $38.65 | $56.52 |