| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $341.00 | $495.00 | $958.00 | |
Ambetter
| Facility | $445.50 | $445.50 | $445.50 | |
Oscar Health
| Facility | $407.00 | $675.00 | $1,167.00 | |
Wellcare
| Facility | $2,560.00 | $2,860.00 | $4,000.00 |