| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,698.24 | $1,995.26 | $1,995.26 | |
Anthem BCBS
| Facility | $912.01 | $1,148.15 | $1,148.15 | |
Kaiser Permanente
| Facility | $100.00 | $14,791.08 | $120,226.44 | |
Oscar Health
| Facility | $831.76 | $831.76 | $831.76 | |
United
| Facility | $831.76 | $831.76 | $831.76 |