| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.89 | $198.89 | $213.05 | |
Aetna
| Professional | $198.89 | $198.89 | $198.89 | |
BCBS
| Facility | $337.80 | $444.30 | $859.42 | |
BCBS
| Professional | $435.14 | $479.14 | $494.20 | |
Cigna
| Professional | $361.62 | $547.70 | $684.62 | |
Medica
| Facility | $108.49 | $198.89 | $1,431.41 | |
Medica
| Professional | $180.81 | $180.81 | $870.90 | |
Midlands
| Facility | $361.62 | $458.05 | $660.44 | |
Midlands
| Professional | $361.62 | $593.04 | $753.38 | |
Oscar Health
| Professional | $352.58 | $352.58 | $614.75 | |
United
| Professional | $171.77 | $180.81 | $271.22 |