| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,657.00 | $5,657.00 | $5,872.00 | |
Ambetter
| Facility | $1,243.19 | $1,243.19 | $12,165.00 | |
Oscar Health
| Facility | $30,079.74 | $30,079.74 | $61,989.30 | |
United
| Facility | $5,643.00 | $5,643.00 | $10,371.00 |