| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $676.08 | $676.08 | |
Ambetter
| Facility | $537.03 | $1,513.56 | $4,786.30 | |
Oscar Health
| Facility | $1,380.38 | $1,380.38 | $2,630.27 | |
United
| Facility | $1,122.02 | $14,791.08 | $30,199.52 |