| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $128.82 | $128.82 | $128.82 | |
Oscar Health
| Facility | $186.21 | $194.98 | $269.15 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $128.82 | $128.82 | $128.82 | |
Oscar Health
| Facility | $186.21 | $194.98 | $269.15 |