| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $128.00 | $185.00 | |
Ambetter
| Facility | $34.15 | $48.44 | $75.80 | |
Cigna
| Facility | $80.00 | $105.00 | $238.00 | |
Oscar Health
| Facility | $179.04 | $191.33 | $508.57 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |