| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $753.09 | $1,690.22 | $2,996.85 | |
Aetna
| Professional | $507.78 | $507.78 | $744.10 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Medcost
| Facility | $507.78 | $507.78 | $812.45 | |
Oscar Health
| Facility | $5,060.06 | $5,060.06 | $13,262.68 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |