| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.00 | $201.00 | $310.00 | |
Ambetter
| Facility | $105.96 | $105.96 | $105.96 | |
Cigna
| Facility | $225.00 | $296.00 | $478.00 | |
Oscar Health
| Facility | $100.00 | $216.00 | $320.00 | |
Wellcare
| Facility | $2,066.00 | $2,066.00 | $2,570.00 |