| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.00 | $5.00 | $5.00 | |
Aetna
| Professional | $5.00 | $5.00 | $5.00 | |
Anthem BCBS
| Professional | $19.00 | $20.00 | $20.00 | |
Kaiser Permanente
| Professional | $85.00 | $85.00 | $85.00 | |
Oscar Health
| Professional | $60.14 | $60.14 | $60.14 |