| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $17.78 | $21.88 | $21.88 |
Aetna
| Professional | $25.12 | $28.84 | $44.67 | |
Cigna
| Professional | $16.98 | $23.99 | $70.79 | |
Medcost
| Professional | $66.07 | $66.07 | $77.62 | |
Medcost
| Professional | 26 | $53.70 | $53.70 | $60.26 |
Medcost
| Professional | $26.30 | $26.30 | $26.30 | |
Oscar Health
| Professional | $6.61 | $24.55 | $33.11 | |
United
| Professional | $19.95 | $31.62 | $66.07 | |
Wellcare
| Professional | $213.80 | $213.80 | $269.15 |