| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9.63 | $9.63 | $9.63 | |
Aetna
| Professional | $6.29 | $9.63 | $13.72 | |
Kaiser Permanente
| Professional | $43.00 | $90.00 | $90.00 | |
Oscar Health
| Professional | $10.00 | $10.00 | $10.30 | |
United
| Professional | $10.00 | $10.00 | $10.00 |