| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $651.00 | $1,020.00 | $1,245.00 | |
Cigna
| Facility | $1,000.00 | $1,325.00 | $2,905.00 | |
Oscar Health
| Facility | $4,020.64 | $4,020.64 | $6,538.84 | |
Wellcare
| Facility | $810.00 | $810.00 | $810.00 |