| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.50 | $204.97 | $895.86 | |
Aetna
| Professional | $15.63 | $80.86 | $175.78 | |
Ambetter
| Professional | $4.93 | $10.76 | $12.46 | |
BCBS
| Facility | $49.03 | $74.79 | $74.79 | |
BCBS
| Professional | $10.76 | $10.76 | $12.55 | |
Cigna
| Facility | $12.23 | $18.98 | $47.15 | |
Cigna
| Professional | $11.31 | $13.13 | $25.81 | |
Medcost
| Facility | $14.34 | $15.64 | $35.08 | |
Medcost
| Professional | $22.50 | $25.69 | $33.00 | |
Oscar Health
| Facility | $556.21 | $556.21 | $556.21 | |
United
| Professional | $8.97 | $12.53 | $24.46 | |
Wellcare
| Facility | $43.98 | $119.48 | $119.48 |