| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.67 | $79.81 | $87.38 | |
Anthem BCBS
| Facility | $99.79 | $99.79 | $99.79 | |
Anthem BCBS
| Professional | $70.52 | $103.24 | $171.50 | |
CareSource
| Facility | $99.79 | $144.69 | $159.66 | |
Cigna
| Professional | $43.73 | $43.73 | $43.73 | |
Kaiser Permanente
| Professional | $79.83 | $99.79 | $99.79 | |
Oscar Health
| Professional | $65.00 | $104.67 | $467.52 | |
United
| Professional | $33.19 | $45.45 | $68.45 |