| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,174.90 | $1,288.25 | $1,479.11 | |
Medica
| Facility | $1,737.80 | $1,819.70 | $5,248.07 | |
Oscar Health
| Facility | $1,995.26 | $1,995.26 | $2,089.30 | |
United
| Facility | $1,995.26 | $1,995.26 | $2,089.30 |