| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $416.87 | $1,380.38 | |
Aetna
| Professional | $32.36 | $87.10 | $213.80 | |
Ambetter
| Professional | $24.55 | $52.48 | $117.49 | |
BCBS
| Facility | $28.18 | $33.88 | $83.18 | |
BCBS
| Professional | $39.81 | $77.62 | $134.90 | |
Cigna
| Professional | $26.92 | $45.71 | $85.11 | |
Medcost
| Professional | $74.13 | $74.13 | $77.62 | |
Medcost
| Facility | $30.20 | $69.18 | $123.03 | |
Oscar Health
| Facility | $489.78 | $489.78 | $575.44 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
United
| Professional | $22.91 | $54.95 | $91.20 | |
Wellcare
| Facility | $316.23 | $316.23 | $316.23 | |
Wellcare
| Professional | $645.65 | $645.65 | $831.76 |