| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $467.74 | $645.65 | $1,318.26 | |
Aetna
| Professional | $467.74 | $575.44 | $691.83 | |
Kaiser Permanente
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
Oscar Health
| Professional | $707.95 | $954.99 | $1,513.56 | |
United
| Facility | $645.65 | $645.65 | $707.95 | |
United
| Professional | $295.12 | $426.58 | $977.24 |