| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,688.00 | $3,688.00 | $3,688.00 | |
Ambetter
| Facility | $1,697.48 | $5,085.68 | $10,586.60 | |
Anthem BCBS
| Facility | $2,269.71 | $5,947.17 | $7,234.08 | |
Oscar Health
| Facility | $5,897.95 | $6,501.00 | $27,335.63 |