| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $288.40 | $436.52 | $707.95 | |
Hally Health
| Professional | $338.84 | $436.52 | $645.65 | |
Medica
| Facility | $57.54 | $64.57 | $4,073.80 | |
Oscar Health
| Facility | $6,309.57 | $27,542.29 | $38,904.51 |