| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $55.51 | $167.83 | $334.01 | |
Anthem BCBS
| Facility | $140.00 | $311.31 | $420.28 | |
Cigna
| Facility | $25.00 | $198.00 | $288.00 | |
Kaiser Permanente
| Facility | $315.00 | $315.00 | $315.00 | |
Oscar Health
| Facility | $68.81 | $223.13 | $275.56 |