| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.98 | $43.98 | $43.98 | |
Aetna
| Professional | $40.15 | $43.97 | $48.32 | |
Anthem BCBS
| Professional | $45.00 | $72.29 | $100.36 | |
Kaiser Permanente
| Professional | $52.83 | $68.68 | $237.80 | |
Oscar Health
| Professional | $74.50 | $74.50 | $74.50 |