| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.70 | $111.42 | $254.84 | |
Aetna
| Professional | $55.16 | $66.23 | $163.36 | |
Martin's Point
| Facility | $66.23 | $111.42 | $261.61 | |
Martin's Point
| Professional | $55.16 | $66.23 | $163.36 | |
Oscar Health
| Professional | $170.27 | $206.03 | $330.55 | |
United
| Professional | $74.02 | $90.00 | $145.66 |