| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.94 | $20.94 | $20.94 | |
Aetna
| Professional | $19.11 | $20.94 | $23.43 | |
Anthem BCBS
| Professional | $20.75 | $32.00 | $45.69 | |
Kaiser Permanente
| Professional | $26.23 | $34.10 | $113.23 | |
Oscar Health
| Professional | $32.90 | $32.90 | $32.90 |