| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.00 | $152.00 | $152.00 | |
Ambetter
| Facility | $327.12 | $327.12 | $327.12 | |
Anthem BCBS
| Facility | $394.50 | $394.50 | $394.50 | |
Oscar Health
| Facility | $162.00 | $162.00 | $170.00 |