| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.21 | $1.21 | $1.21 | |
Aetna
| Professional | $1.21 | $1.21 | $1.42 | |
Anthem BCBS
| Professional | $49.20 | $49.20 | $68.88 | |
Kaiser Permanente
| Professional | $64.00 | $67.00 | $67.00 | |
Oscar Health
| Professional | $192.97 | $192.97 | $239.19 |