| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $870.96 | $870.96 | $1,621.81 | |
Ambetter
| Facility | $295.12 | $602.56 | $1,148.15 | |
Cigna
| Facility | $616.60 | $870.96 | $1,584.89 | |
Kaiser Permanente
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Oscar Health
| Facility | $630.96 | $630.96 | $3,388.44 |