| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $249.50 | $249.50 | $249.50 | |
BCBS
| Professional | $49.76 | $500.00 | $500.00 | |
Medcost
| Facility | $199.60 | $199.60 | $417.16 | |
Oscar Health
| Professional | $396.70 | $396.70 | $396.70 |