| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $375.86 | $375.86 | $375.86 | |
BCBS
| Professional | $60.00 | $3,304.01 | $3,304.01 | |
Medcost
| Facility | $300.69 | $300.69 | $628.44 | |
Oscar Health
| Professional | $368.10 | $368.10 | $368.10 |