| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.91 | $142.85 | $5,449.00 | |
Aetna
| Professional | $78.48 | $121.24 | $201.28 | |
BCBS
| Professional | $88.25 | $129.91 | $267.87 | |
Cigna
| Professional | $90.18 | $136.51 | $282.01 | |
Medcost
| Facility | $82.91 | $135.58 | $202.80 | |
Medcost
| Professional | $167.50 | $167.50 | $167.50 | |
Oscar Health
| Professional | $78.08 | $130.50 | $218.95 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
United
| Professional | $104.64 | $134.71 | $331.36 | |
Wellcare
| Facility | $55.00 | $605.46 | $605.46 | |
Wellcare
| Professional | $642.16 | $1,021.52 | $1,184.93 |