| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $965.00 | $1,233.85 | $2,166.00 | |
Medica
| Facility | $616.00 | $1,116.00 | $1,709.00 | |
Oscar Health
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Facility | $616.00 | $994.00 | $1,709.00 |