| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.86 | $54.64 | $148.88 | |
Aetna
| Professional | $39.15 | $57.36 | $118.02 | |
BCBS
| Professional | $36.67 | $61.41 | $224.41 | |
Cigna
| Facility | $64.30 | $64.30 | $64.30 | |
Cigna
| Professional | $52.03 | $100.52 | $180.18 | |
Medcost
| Facility | $39.86 | $71.06 | $146.25 | |
Medcost
| Professional | $73.00 | $73.00 | $148.26 | |
Oscar Health
| Professional | $73.59 | $73.59 | $289.10 | |
United
| Professional | $55.66 | $93.88 | $187.13 | |
Wellcare
| Facility | $106.13 | $192.38 | $192.38 | |
Wellcare
| Professional | $602.00 | $686.87 | $693.25 |