| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $0.95 | $0.95 | $0.95 | |
Kaiser Permanente
| Professional | $0.59 | $0.76 | $0.91 | |
Oscar Health
| Facility | $1,737.80 | $4,786.30 | $4,786.30 | |
United
| Professional | $0.39 | $0.39 | $1.48 |