| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,688.00 | $3,688.00 | $3,688.00 | |
Ambetter
| Facility | $4,355.62 | $4,355.62 | $4,355.62 | |
Anthem BCBS
| Facility | $2,269.71 | $5,947.17 | $7,234.08 | |
Oscar Health
| Facility | $931.72 | $2,178.87 | $2,500.00 |