| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.66 | $104.71 | $128.82 | |
Anthem BCBS
| Facility | $158.49 | $158.49 | $158.49 | |
Anthem BCBS
| Professional | $112.20 | $138.04 | $1,000.00 | |
Cigna
| Professional | $57.54 | $57.54 | $141.25 | |
Kaiser Permanente
| Professional | $123.03 | $158.49 | $158.49 | |
Oscar Health
| Professional | $50.12 | $64.57 | $213.80 | |
United
| Professional | $50.12 | $67.61 | $104.71 |