| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.19 | $135.19 | $135.19 | |
Aetna
| Professional | $56.01 | $133.13 | $159.27 | |
Cigna
| Professional | $128.26 | $128.26 | $296.33 | |
Kaiser Permanente
| Professional | $68.83 | $134.61 | $167.74 | |
Oscar Health
| Professional | $382.70 | $382.70 | $382.70 | |
United
| Professional | $127.49 | $198.32 | $398.85 |