| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $12.17 | $16.97 | $18.35 | |
Capital Blue Cross
| Professional | $19.97 | $20.72 | $20.72 | |
Martin's Point
| Professional | $12.17 | $15.72 | $18.35 | |
Oscar Health
| Professional | $25.10 | $26.90 | $29.60 |