| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.52 | $251.52 | $251.52 | |
Aetna
| Professional | $237.30 | $251.52 | $251.52 | |
Anthem BCBS
| Professional | $191.46 | $272.27 | $365.07 | |
Cigna
| Facility | $354.00 | $354.00 | $437.00 | |
Cigna
| Professional | $354.00 | $354.00 | $354.00 | |
Oscar Health
| Facility | $741.72 | $741.72 | $741.72 | |
United
| Professional | $226.84 | $249.92 | $515.92 |