| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $174.02 | $238.00 | $328.99 | |
BCBS
| Professional | $181.29 | $254.86 | $374.84 | |
Cigna
| Professional | $205.73 | $294.20 | $452.60 | |
Lucent Health
| Professional | $1,457.68 | $2,011.20 | $2,315.48 | |
Moda Health
| Professional | $242.60 | $360.99 | $500.56 | |
Oscar Health
| Professional | $169.96 | $259.89 | $324.86 | |
Providence
| Professional | $217.16 | $305.63 | $498.95 | |
United
| Professional | $215.42 | $285.11 | $433.65 | |
Wellpoint
| Professional | $229.69 | $259.89 | $363.85 |