| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Kaiser Permanente
| Professional | $3,548.13 | $3,548.13 | $3,548.13 | |
Oscar Health
| Professional | $446.68 | $630.96 | $831.76 | |
United
| Facility | $446.68 | $446.68 | $446.68 | |
United
| Professional | $190.55 | $269.15 | $741.31 |