| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,600.00 | $3,600.00 | $3,600.00 | |
Ambetter
| Facility | $175.94 | $175.94 | $466.94 | |
Anthem BCBS
| Facility | $796.72 | $1,152.77 | $1,289.14 | |
Oscar Health
| Facility | $24.42 | $62.60 | $75.20 |