| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.75 | $13.75 | $1,423.40 | |
Aetna
| Professional | $12.24 | $13.75 | $15.51 | |
Anthem BCBS
| Professional | $14.17 | $22.80 | $32.22 | |
Kaiser Permanente
| Professional | $15.80 | $20.54 | $74.34 | |
Oscar Health
| Professional | $21.90 | $21.90 | $21.90 |