| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $3,102.50 | $3,193.75 | $3,193.75 | |
Cigna
| Professional | $677.33 | $677.33 | $677.33 | |
Kaiser Permanente
| Professional | $1,013.11 | $1,013.11 | $2,363.00 | |
Oscar Health
| Professional | $1,115.43 | $1,115.43 | $1,213.84 |