| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,623.41 | $5,623.41 | $5,888.44 | |
Ambetter
| Facility | $3,235.94 | $3,235.94 | $12,302.69 | |
Oscar Health
| Facility | $30,199.52 | $30,199.52 | $33,884.42 | |
United
| Facility | $5,623.41 | $5,623.41 | $10,471.29 |