| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.36 | $181.78 | $297.54 | |
CareSource
| Facility | $232.15 | $273.11 | $390.16 | |
Kaiser Permanente
| Professional | $200.79 | $301.19 | $505.99 | |
Oscar Health
| Facility | $3,425.00 | $5,938.87 | $5,938.87 |