| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $1,621.81 | |
Ambetter
| Facility | $371.54 | $645.65 | $1,230.27 | |
Cigna
| Facility | $616.60 | $870.96 | $1,584.89 | |
Kaiser Permanente
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Oscar Health
| Facility | $1,000.00 | $1,000.00 | $4,677.35 |