| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.08 | $247.19 | $565.35 | |
Aetna
| Professional | $122.37 | $146.94 | $361.51 | |
Martin's Point
| Facility | $146.94 | $247.19 | $580.45 | |
Martin's Point
| Professional | $122.37 | $146.94 | $361.51 | |
Oscar Health
| Professional | $1,559.22 | $1,886.66 | $3,028.31 | |
United
| Professional | $163.81 | $208.04 | $1,199.21 |