| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $5.09 | $5.25 | $7.35 | |
Cigna
| Professional | $5.09 | $5.09 | $5.09 | |
Kaiser Permanente
| Professional | $5.09 | $5.09 | $10.19 | |
Oscar Health
| Professional | $27.40 | $27.40 | $27.40 |