| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $903.87 | $903.87 | $903.87 | |
BCBS
| Professional | $127.14 | $212.34 | $288.95 | |
Cigna
| Professional | $212.89 | $293.05 | $366.31 | |
Medica
| Professional | $198.86 | $335.12 | $1,308.32 | |
Midlands
| Professional | $206.27 | $324.23 | $432.00 | |
Oscar Health
| Professional | $142.05 | $247.68 | $285.37 | |
United
| Professional | $198.86 | $335.12 | $378.91 |