| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $89.13 | $114.82 | |
Anthem BCBS
| Facility | $141.25 | $141.25 | $141.25 | |
Anthem BCBS
| Professional | $97.72 | $117.49 | $1,000.00 | |
Cigna
| Professional | $48.98 | $48.98 | $120.23 | |
Kaiser Permanente
| Professional | $104.71 | $141.25 | $141.25 | |
Oscar Health
| Professional | $50.12 | $64.57 | $190.55 | |
United
| Professional | $42.66 | $58.88 | $91.20 |