| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6.76 | $11.90 | $13.53 | |
Anthem BCBS
| Facility | $14.88 | $14.88 | $14.88 | |
Anthem BCBS
| Professional | $10.52 | $14.53 | $25.57 | |
CareSource
| Facility | $14.88 | $21.58 | $23.81 | |
Cigna
| Professional | $5.91 | $5.91 | $5.91 | |
Kaiser Permanente
| Professional | $11.90 | $14.88 | $23.81 | |
Oscar Health
| Professional | $13.66 | $16.38 | $69.70 | |
United
| Professional | $4.95 | $6.75 | $11.19 |