| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $1,726.56 | $1,777.34 | $1,777.34 | |
Cigna
| Professional | $848.00 | $848.00 | $848.00 | |
Kaiser Permanente
| Professional | $1,390.00 | $1,726.56 | $1,726.56 | |
Oscar Health
| Professional | $1,441.60 | $1,441.60 | $1,568.80 |