| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.44 | $14.44 | $18.18 | |
Aetna
| Professional | $12.12 | $15.04 | $18.89 | |
Cigna
| Facility | $17.53 | $17.53 | $17.53 | |
Cigna
| Professional | $11.56 | $13.29 | $73.26 | |
Martin's Point
| Facility | $14.44 | $17.32 | $200.00 | |
Martin's Point
| Professional | $9.93 | $14.78 | $18.18 | |
Oscar Health
| Professional | $20.60 | $20.60 | $20.60 | |
Priority Health
| Facility | $17.53 | $17.53 | $17.53 | |
Priority Health
| Professional | $11.56 | $13.29 | $73.26 | |
United
| Professional | $14.30 | $18.26 | $30.76 |