| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $125.73 | $198.52 | $381.21 | |
Anthem BCBS
| Facility | $455.00 | $455.00 | $455.00 | |
Cigna
| Facility | $268.00 | $268.00 | $316.00 | |
Kaiser Permanente
| Facility | $206.00 | $206.00 | $206.00 | |
Oscar Health
| Facility | $114.62 | $183.00 | $783.91 |