| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.00 | $8.00 | $8.00 | |
Aetna
| Professional | $8.00 | $8.00 | $8.00 | |
Anthem BCBS
| Professional | $4.73 | $4.73 | $5.87 | |
Cigna
| Professional | $12.00 | $12.00 | $12.00 | |
Kaiser Permanente
| Professional | $192.00 | $192.00 | $192.00 | |
Oscar Health
| Professional | $136.72 | $136.72 | $136.72 |