| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.09 | $161.46 | $189.68 | |
Aetna
| Professional | $67.17 | $98.41 | $318.00 | |
BCBS
| Facility | $177.68 | $233.70 | $452.04 | |
BCBS
| Professional | $92.62 | $151.37 | $212.66 | |
Cigna
| Facility | $109.61 | $109.61 | $124.00 | |
Cigna
| Professional | $87.92 | $147.79 | $235.35 | |
Medica
| Facility | $81.25 | $166.31 | $232.05 | |
Medica
| Professional | $69.95 | $89.64 | $215.82 | |
Midlands
| Facility | $109.61 | $147.41 | $195.00 | |
Midlands
| Professional | $101.34 | $151.47 | $240.57 | |
Oscar Health
| Professional | $111.84 | $195.00 | $217.28 | |
United
| Professional | $69.95 | $87.44 | $212.57 |