| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.00 | $1,101.00 | $2,173.00 | |
Ambetter
| Facility | $570.25 | $1,069.82 | $2,748.09 | |
Cigna
| Facility | $1,300.00 | $1,797.00 | $2,825.00 | |
Oscar Health
| Facility | $849.29 | $849.29 | $6,210.71 |