| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.20 | $56.88 | $205.00 | |
Cigna
| Professional | $52.59 | $76.09 | $105.69 | |
Hally Health
| Professional | $72.33 | $91.30 | $150.00 | |
Medica
| Professional | $43.99 | $60.26 | $164.59 | |
Midlands
| Professional | $69.93 | $103.66 | $147.69 | |
Oscar Health
| Professional | $65.75 | $90.89 | $124.83 | |
United
| Professional | $43.99 | $59.55 | $87.51 | |
Wellmark
| Professional | $89.50 | $89.50 | $105.30 |