| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $1,621.81 | $2,951.21 | |
Aetna
| Professional | $512.86 | $512.86 | $954.99 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Medcost
| Facility | $512.86 | $562.34 | $1,071.52 | |
Oscar Health
| Facility | $6,165.95 | $6,165.95 | $6,165.95 | |
United
| Facility | $588.84 | $602.56 | $602.56 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |