| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.57 | $224.64 | $303.74 | |
Aetna
| Professional | $173.57 | $173.57 | $173.57 | |
BCBS
| Facility | $337.80 | $444.30 | $859.42 | |
BCBS
| Professional | $379.75 | $418.14 | $431.30 | |
Cigna
| Professional | $315.58 | $482.10 | $673.25 | |
Medica
| Facility | $157.79 | $410.28 | $1,249.20 | |
Medica
| Professional | $157.79 | $157.79 | $760.04 | |
Midlands
| Facility | $315.58 | $480.94 | $988.12 | |
Midlands
| Professional | $315.58 | $482.10 | $673.25 | |
Oscar Health
| Professional | $307.70 | $447.08 | $536.50 | |
United
| Professional | $149.90 | $157.79 | $512.83 |