| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.00 | $128.00 | $185.00 | |
Ambetter
| Facility | $77.01 | $108.53 | $190.56 | |
Cigna
| Facility | $80.00 | $105.00 | $238.00 | |
Oscar Health
| Facility | $188.11 | $198.63 | $313.88 | |
Wellcare
| Facility | $110.00 | $110.00 | $110.00 |