| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $397.61 | $771.30 | $1,895.37 | |
Aetna
| Professional | $397.61 | $520.17 | $573.99 | |
Anthem BCBS
| Facility | $397.01 | $597.91 | $1,821.59 | |
Anthem BCBS
| Professional | $239.16 | $239.16 | $956.65 | |
CareSource
| Facility | $597.91 | $866.97 | $1,285.08 | |
Cigna
| Facility | $893.25 | $1,315.40 | $1,843.24 | |
Cigna
| Professional | $349.78 | $3,365.95 | $3,365.95 | |
Kaiser Permanente
| Professional | $538.12 | $1,067.80 | $4,661.55 | |
Oscar Health
| Professional | $597.91 | $801.20 | $1,106.13 | |
United
| Professional | $251.12 | $358.75 | $1,046.64 |