| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Professional | $56.23 | $56.23 | $56.23 | |
Kaiser Permanente
| Professional | $51.29 | $109.65 | $229.09 | |
Oscar Health
| Professional | $54.95 | $95.50 | $117.49 | |
United
| Facility | $34.67 | $50.12 | $57.54 | |
United
| Professional | $30.90 | $48.98 | $79.43 |