| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.75 | $13.75 | $3,503.77 | |
Aetna
| Professional | $12.24 | $13.75 | $15.19 | |
Anthem BCBS
| Professional | $13.59 | $20.38 | $30.15 | |
Kaiser Permanente
| Professional | $15.80 | $20.54 | $74.34 | |
Oscar Health
| Professional | $23.00 | $23.00 | $23.00 |