| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,233.85 | $1,418.94 | $2,166.00 | |
Medica
| Facility | $737.00 | $1,035.00 | $1,991.86 | |
Oscar Health
| Facility | $1,991.86 | $1,991.86 | $2,100.00 | |
United
| Facility | $737.00 | $1,009.00 | $1,660.00 |