| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.72 | $119.83 | $5,449.00 | |
Aetna
| Professional | $46.10 | $68.38 | $90.73 | |
Ambetter
| Professional | $69.73 | $69.73 | $69.73 | |
BCBS
| Professional | $51.95 | $89.63 | $167.45 | |
Cigna
| Professional | $54.85 | $87.57 | $160.55 | |
Medcost
| Facility | $48.72 | $82.20 | $112.74 | |
Medcost
| Professional | $99.34 | $99.34 | $99.34 | |
Oscar Health
| Professional | $38.88 | $73.89 | $125.10 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
United
| Professional | $63.82 | $77.72 | $179.13 | |
Wellcare
| Facility | $55.00 | $245.01 | $245.01 | |
Wellcare
| Professional | $361.60 | $406.88 | $1,070.26 |