| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $44.88 | $46.20 | $64.68 | |
Cigna
| Professional | $44.88 | $44.88 | $44.88 | |
Kaiser Permanente
| Professional | $44.88 | $44.88 | $89.76 | |
Oscar Health
| Professional | $27.40 | $27.40 | $27.40 |