| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $125.00 | $125.00 | $293.42 | |
Oscar Health
| Professional | $13.99 | $31.98 | $61.61 |
Macr Exm Diss&Prp Nonmicr Imprnt/Conslt/Frz Se
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $125.00 | $125.00 | $293.42 | |
Oscar Health
| Professional | $13.99 | $31.98 | $61.61 |