| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.01 | $36.01 | $38.78 | |
Medica
| Facility | $36.01 | $38.17 | $108.81 | |
Oscar Health
| Professional | $35.00 | $121.45 | $131.72 | |
Wellmark
| Professional | $62.25 | $78.80 | $78.80 |