| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.91 | $77.91 | $77.91 | |
Aetna
| Professional | $77.91 | $77.91 | $77.91 | |
Anthem BCBS
| Professional | $47.45 | $55.83 | $55.83 | |
Oscar Health
| Professional | $65.70 | $91.99 | $100.37 |