| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $54.47 | $85.17 | $93.24 | |
Anthem BCBS
| Facility | $106.49 | $106.49 | $106.49 | |
Anthem BCBS
| Professional | $75.26 | $108.19 | $183.00 | |
CareSource
| Facility | $106.49 | $154.41 | $170.38 | |
Cigna
| Professional | $45.83 | $45.83 | $45.83 | |
Kaiser Permanente
| Professional | $85.19 | $106.49 | $106.49 | |
Oscar Health
| Professional | $65.00 | $111.69 | $498.91 | |
United
| Professional | $35.42 | $48.24 | $72.03 |