| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.91 | $65.91 | $65.91 | |
Aetna
| Professional | $65.91 | $65.91 | $376.39 | |
Anthem BCBS
| Professional | $50.55 | $66.08 | $83.55 | |
Cigna
| Professional | $313.11 | $313.11 | $313.11 | |
Oscar Health
| Professional | $169.26 | $249.90 | $272.70 |