| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.39 | $181.39 | $194.31 | |
Aetna
| Professional | $181.39 | $181.39 | $181.39 | |
BCBS
| Facility | $337.80 | $444.30 | $859.42 | |
BCBS
| Professional | $396.85 | $436.98 | $450.72 | |
Cigna
| Professional | $329.80 | $499.39 | $624.24 | |
Medica
| Facility | $98.94 | $181.39 | $1,305.44 | |
Medica
| Professional | $164.90 | $164.90 | $794.26 | |
Midlands
| Facility | $329.80 | $502.59 | $602.32 | |
Midlands
| Professional | $329.80 | $540.85 | $703.56 | |
Oscar Health
| Professional | $321.55 | $321.55 | $560.65 | |
United
| Professional | $156.65 | $164.90 | $535.91 |