| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $588.84 | $1,202.26 | |
Ambetter
| Facility | $234.42 | $416.87 | $977.24 | |
Cigna
| Facility | $380.19 | $549.54 | $1,288.25 | |
Kaiser Permanente
| Facility | $933.25 | $933.25 | $933.25 | |
Oscar Health
| Facility | $1,288.25 | $1,288.25 | $4,265.80 |