| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.05 | $83.47 | $83.47 | |
Capital Blue Cross
| Professional | $141.65 | $147.00 | $147.00 | |
Cigna
| Professional | $385.20 | $385.20 | $385.20 | |
Martin's Point
| Professional | $77.05 | $83.47 | $83.47 | |
Oscar Health
| Professional | $50.00 | $50.00 | $50.00 | |
Priority Health
| Professional | $385.20 | $385.20 | $385.20 |