| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.00 | $1,101.00 | $2,173.00 | |
Ambetter
| Facility | $560.80 | $1,018.56 | $2,152.38 | |
Cigna
| Facility | $1,300.00 | $1,797.00 | $2,825.00 | |
Oscar Health
| Facility | $580.85 | $580.85 | $3,739.41 |