| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $691.83 | $691.83 | |
Ambetter
| Facility | $354.81 | $575.44 | $1,318.26 | |
Medica
| Facility | $363.08 | $645.65 | $1,513.56 | |
Oscar Health
| Facility | $1,949.84 | $1,949.84 | $2,290.87 |