| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.00 | $10.00 | $10.00 | |
Aetna
| Professional | $10.00 | $10.00 | $10.00 | |
Anthem BCBS
| Professional | $4.75 | $5.00 | $5.00 | |
Cigna
| Professional | $57.00 | $57.00 | $57.00 | |
Kaiser Permanente
| Professional | $23.00 | $23.00 | $23.00 | |
Oscar Health
| Professional | $16.12 | $16.12 | $16.12 |