| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.00 | $152.00 | $152.00 | |
Ambetter
| Facility | $22.94 | $151.31 | $288.10 | |
Anthem BCBS
| Facility | $394.50 | $477.00 | $515.00 | |
Kaiser Permanente
| Facility | $214.00 | $253.00 | $320.00 | |
Oscar Health
| Facility | $162.00 | $187.48 | $1,296.75 |