| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $55.32 | $60.86 | $92.66 |
Aetna
| Professional | $112.46 | $121.88 | $275.00 | |
Cigna
| Professional | $142.78 | $216.43 | $313.61 | |
Medcost
| Facility | 26 | $85.10 | $98.00 | $152.75 |
Medcost
| Professional | $188.84 | $188.84 | $295.98 | |
Oscar Health
| Professional | $232.00 | $303.70 | $370.10 | |
United
| Professional | $117.57 | $181.50 | $316.54 | |
Wellcare
| Facility | 26 | $130.27 | $296.93 | $368.13 |
Wellcare
| Professional | $1,548.00 | $1,548.00 | $1,548.00 |