| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $374.78 | $3,839.00 | $8,113.00 | |
Aetna
| Professional | $260.17 | $393.20 | $474.05 | |
Martin's Point
| Facility | $832.00 | $4,761.00 | $8,247.00 | |
Martin's Point
| Professional | $253.88 | $397.88 | $818.00 | |
Oscar Health
| Professional | $7.00 | $7.00 | $7.00 | |
United
| Facility | $388.00 | $2,020.00 | $6,322.00 | |
United
| Professional | $379.73 | $511.21 | $844.77 |