| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.00 | $500.00 | $500.00 | |
Ambetter
| Facility | $434.81 | $891.53 | $1,458.85 | |
Cigna
| Facility | $14,114.00 | $14,114.00 | $14,114.00 | |
Oscar Health
| Facility | $537.00 | $1,649.14 | $6,333.66 |