| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.93 | $27.06 | $37.11 | |
Capital Blue Cross
| Professional | $42.48 | $44.09 | $44.09 | |
Martin's Point
| Professional | $25.93 | $26.91 | $36.31 | |
Oscar Health
| Professional | $54.00 | $54.00 | $54.00 |