| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $21.91 | $21.91 | $21.91 | |
Cigna
| Professional | $69.06 | $69.06 | $82.74 | |
Kaiser Permanente
| Professional | $30.60 | $105.00 | $109.87 | |
Oscar Health
| Professional | $16.76 | $28.00 | $32.75 | |
United
| Professional | $16.30 | $24.74 | $34.47 |