| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.71 | $209.57 | $434.67 | |
Aetna
| Professional | $12.39 | $13.12 | $14.56 | |
BCBS
| Facility | $29.04 | $30.80 | $65.33 | |
BCBS
| Professional | $7.71 | $7.71 | $12.00 | |
Cigna
| Facility | $9.85 | $17.96 | $45.37 | |
Cigna
| Professional | $8.83 | $10.06 | $24.91 | |
Medcost
| Facility | $12.49 | $13.12 | $18.00 | |
Medcost
| Professional | $12.99 | $17.96 | $19.95 | |
Oscar Health
| Facility | $2,155.14 | $2,155.14 | $2,155.14 | |
United
| Professional | $8.38 | $9.98 | $19.95 | |
Wellcare
| Facility | $29.82 | $81.42 | $81.42 |