| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $660.69 | $1,380.38 | |
Aetna
| Professional | $489.78 | $602.56 | $724.44 | |
Kaiser Permanente
| Professional | $5,754.40 | $5,754.40 | $5,754.40 | |
Oscar Health
| Professional | $741.31 | $1,000.00 | $1,584.89 | |
United
| Facility | $660.69 | $660.69 | $741.31 | |
United
| Professional | $309.03 | $446.68 | $1,023.29 |