| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.42 | $51.69 | $126.00 | |
Aetna
| Professional | $13.18 | $15.61 | $20.17 | |
BCBS
| Facility | $26.86 | $30.52 | $32.24 | |
BCBS
| Professional | $14.16 | $16.18 | $35.44 | |
Cigna
| Facility | $23.81 | $23.81 | $23.81 | |
Cigna
| Professional | $18.04 | $20.32 | $85.75 | |
Medcost
| Facility | $15.61 | $19.23 | $27.48 | |
Medcost
| Professional | $19.11 | $24.04 | $30.00 | |
Oscar Health
| Professional | $30.88 | $31.33 | $34.57 | |
United
| Professional | $19.94 | $22.90 | $46.13 | |
Wellcare
| Facility | $80.00 | $80.00 | $105.40 | |
Wellcare
| Professional | $136.29 | $138.46 | $170.48 |