| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | $225.09 | $225.09 | $225.09 | |
Kaiser Permanente
| Professional | $128.37 | $185.42 | $1,112.38 | |
Oscar Health
| Facility | $1,663.61 | $1,915.83 | $2,164.00 | |
Oscar Health
| Professional | $142.63 | $199.68 | $254.59 |