| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.42 | $86.42 | $86.42 | |
Aetna
| Professional | $49.49 | $83.54 | $93.19 | |
BCBS
| Professional | $71.66 | $100.47 | $129.55 | |
Cigna
| Facility | $68.59 | $68.59 | $68.59 | |
Cigna
| Professional | $230.73 | $230.73 | $323.55 | |
Medcost
| Facility | $56.15 | $80.20 | $103.70 | |
Medcost
| Professional | $68.00 | $68.00 | $80.20 | |
Oscar Health
| Professional | $61.50 | $61.50 | $61.50 | |
United
| Professional | $45.48 | $59.98 | $120.37 | |
Wellcare
| Facility | $78.20 | $256.64 | $256.64 | |
Wellcare
| Professional | $564.65 | $564.65 | $564.65 |