| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $342.30 | $342.30 | $342.30 | |
BCBS
| Professional | $49.76 | $200.00 | $200.00 | |
Medcost
| Facility | $273.83 | $273.83 | $572.33 | |
Oscar Health
| Professional | $414.40 | $414.40 | $414.40 |