| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.00 | $10.00 | $17.50 | |
BCBS
| Professional | $49.76 | $75.00 | $100.00 | |
Cigna
| Professional | $176.85 | $211.89 | $255.12 | |
Medcost
| Facility | $6.57 | $7.26 | $7.26 | |
Oscar Health
| Professional | $28.00 | $28.00 | $28.00 |