| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $564.00 | $733.00 | $985.00 | |
Ambetter
| Facility | $1,021.36 | $1,021.36 | $1,021.36 | |
Cigna
| Facility | $728.00 | $1,056.00 | $1,478.00 | |
Oscar Health
| Facility | $492.00 | $686.00 | $1,112.00 |