| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Ambetter
| Facility | $85.11 | $223.87 | $5,754.40 | |
Cigna
| Facility | $346.74 | $346.74 | $346.74 | |
Martin's Point
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Oscar Health
| Facility | $112.20 | $141.25 | $1,819.70 |