| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,071.52 | $1,995.26 | $1,995.26 | |
Kaiser Permanente
| Facility | $100.00 | $14,791.08 | $120,226.44 | |
Oscar Health
| Facility | $1,000.00 | $1,698.24 | $1,698.24 | |
United
| Facility | $1,000.00 | $1,698.24 | $1,698.24 |