| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $353.00 | $1,139.00 | $1,638.00 | |
Cigna
| Facility | $350.00 | $1,082.00 | $4,750.00 | |
Martin's Point
| Facility | $305.00 | $937.00 | $1,638.00 | |
Oscar Health
| Facility | $1.74 | $1,003.93 | $1,341.32 | |
Priority Health
| Facility | $350.00 | $875.00 | $4,750.00 |