| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.00 | $26.00 | $26.00 | |
Aetna
| Professional | $26.00 | $26.00 | $26.00 | |
Anthem BCBS
| Professional | $44.48 | $52.33 | $80.45 | |
Kaiser Permanente
| Professional | $98.34 | $98.34 | $100.00 | |
Oscar Health
| Professional | $192.97 | $192.97 | $239.19 |