| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.22 | $99.22 | $150.33 | |
Aetna
| Professional | $99.22 | $99.22 | $966.62 | |
BCBS
| Facility | $337.80 | $444.30 | $859.42 | |
BCBS
| Professional | $217.06 | $239.02 | $246.53 | |
Cigna
| Professional | $218.00 | $275.64 | $384.84 | |
Medica
| Facility | $90.20 | $225.95 | $883.04 | |
Medica
| Professional | $90.20 | $90.20 | $434.45 | |
Midlands
| Facility | $180.40 | $286.19 | $384.84 | |
Midlands
| Professional | $180.40 | $275.64 | $384.84 | |
Oscar Health
| Professional | $175.89 | $255.56 | $306.67 | |
United
| Professional | $85.69 | $90.20 | $293.14 |