| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $630.96 | $1,288.25 | |
Aetna
| Professional | $457.09 | $562.34 | $676.08 | |
Kaiser Permanente
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
Oscar Health
| Professional | $707.95 | $933.25 | $1,479.11 | |
United
| Facility | $630.96 | $630.96 | $707.95 | |
United
| Professional | $295.12 | $416.87 | $954.99 |