| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $8.91 | $74.13 | $616.60 | |
Oscar Health
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $54.95 | $100.00 | $141.25 | |
United
| Professional | $275.42 | $275.42 | $338.84 |