| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.62 | $33.11 | $53.70 | |
Aetna
| Professional | $12.88 | $15.85 | $23.99 | |
BCBS
| Facility | $27.54 | $31.62 | $33.11 | |
BCBS
| Professional | $12.88 | $14.45 | $23.44 | |
Cigna
| Facility | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $15.49 | $19.50 | $43.65 | |
Medcost
| Facility | $13.80 | $18.62 | $25.70 | |
Medcost
| Professional | $19.50 | $19.50 | $19.50 | |
Oscar Health
| Professional | $30.90 | $33.88 | $41.69 | |
United
| Professional | $19.05 | $22.91 | $37.15 | |
Wellcare
| Facility | $134.90 | $134.90 | $134.90 | |
Wellcare
| Professional | $138.04 | $169.82 | $169.82 |