| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $346.74 | $346.74 | |
Ambetter
| Facility | $251.19 | $251.19 | $251.19 | |
Cigna
| Facility | $75.86 | $125.89 | $371.54 | |
Martin's Point
| Facility | $346.74 | $346.74 | $346.74 | |
Oscar Health
| Facility | $831.76 | $870.96 | $1,148.15 |