| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.05 | $137.05 | $137.05 | |
Aetna
| Professional | $126.14 | $139.26 | $206.97 | |
Anthem BCBS
| Professional | $160.02 | $201.32 | $362.37 | |
Kaiser Permanente
| Professional | $220.95 | $287.24 | $741.02 | |
Oscar Health
| Professional | $355.90 | $355.90 | $370.10 |