| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,737.80 | $1,737.80 | $1,737.80 | |
Aetna
| Professional | $1,737.80 | $1,737.80 | $3,162.28 | |
Anthem BCBS
| Professional | $2.40 | $3.39 | $4.17 | |
Oscar Health
| Professional | $331.13 | $331.13 | $489.78 | |
United
| Facility | $616.60 | $616.60 | $616.60 |