| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.00 | $6.00 | $6.00 | |
Aetna
| Professional | $6.00 | $6.00 | $6.00 | |
Anthem BCBS
| Professional | $14.25 | $15.00 | $15.00 | |
Cigna
| Professional | $16.00 | $16.00 | $247.98 | |
Kaiser Permanente
| Professional | $87.00 | $87.00 | $87.00 | |
Oscar Health
| Professional | $61.70 | $61.70 | $61.70 |