| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.49 | $446.49 | $446.49 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Emblem Health
| Facility | $1,210.60 | $1,210.60 | $1,210.60 | |
Martin's Point
| Facility | $446.49 | $446.49 | $446.49 | |
Oscar Health
| Facility | $598.00 | $598.00 | $598.00 | |
Priority Health
| Facility | $635.70 | $635.70 | $635.70 |