| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $183.65 | $606.94 | $5,449.00 | |
Aetna
| Professional | $183.65 | $395.92 | $1,020.85 | |
Ambetter
| Professional | $263.01 | $410.21 | $650.32 | |
BCBS
| Professional | $196.55 | $427.42 | $833.92 | |
Cigna
| Professional | $209.52 | $429.95 | $788.07 | |
Medcost
| Facility | $183.65 | $418.22 | $554.55 | |
Medcost
| Professional | $490.22 | $490.22 | $490.22 | |
Oscar Health
| Professional | $148.05 | $322.82 | $637.20 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
United
| Professional | $323.85 | $390.85 | $944.66 | |
Wellcare
| Facility | $55.00 | $932.33 | $932.33 | |
Wellcare
| Professional | $1,551.52 | $1,558.95 | $3,454.20 |