| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.16 | $323.37 | $410.16 | |
Aetna
| Professional | $69.91 | $86.64 | $121.74 | |
Ambetter
| Professional | $78.88 | $131.90 | $186.72 | |
BCBS
| Professional | $63.37 | $85.73 | $171.76 | |
Cigna
| Facility | $130.25 | $130.25 | $130.25 | |
Cigna
| Professional | $68.00 | $98.00 | $171.45 | |
Medcost
| Facility | $72.63 | $100.57 | $152.05 | |
Medcost
| Professional | $85.62 | $116.00 | $116.00 | |
Oscar Health
| Professional | $87.19 | $112.71 | $164.56 | |
United
| Professional | $86.17 | $108.09 | $233.84 | |
Wellcare
| Facility | $384.09 | $384.09 | $384.09 | |
Wellcare
| Professional | $507.82 | $630.29 | $737.78 |