| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $906.00 | $1,101.00 | $2,173.00 | |
Ambetter
| Facility | $463.50 | $750.00 | $1,693.62 | |
Cigna
| Facility | $1,300.00 | $1,797.00 | $2,825.00 | |
Oscar Health
| Facility | $849.29 | $849.29 | $4,514.85 |