| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.70 | $317.39 | $872.11 | |
Aetna
| Professional | $244.15 | $285.04 | $355.12 | |
Cigna
| Facility | $110.55 | $334.42 | $2,278.87 | |
Cigna
| Professional | $0.66 | $1,398.52 | $1,398.52 | |
Martin's Point
| Facility | $266.70 | $349.38 | $893.45 | |
Martin's Point
| Professional | $244.15 | $272.80 | $355.12 | |
Oscar Health
| Professional | $399.70 | $399.70 | $399.70 | |
Priority Health
| Facility | $110.55 | $334.42 | $3,065.07 | |
Priority Health
| Professional | $1,398.52 | $1,398.52 | $1,398.52 | |
United
| Professional | $276.48 | $339.52 | $580.70 |