| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.54 | $40.54 | $63.66 | |
Aetna
| Professional | $37.63 | $49.61 | $72.41 | |
Ambetter
| Professional | $60.24 | $60.24 | $60.24 | |
BCBS
| Professional | $55.95 | $85.96 | $143.09 | |
Cigna
| Facility | $52.91 | $52.91 | $52.91 | |
Cigna
| Professional | $57.14 | $57.14 | $68.04 | |
Medcost
| Facility | $40.54 | $62.00 | $99.26 | |
Medcost
| Professional | $54.53 | $64.95 | $159.03 | |
Oscar Health
| Professional | $100.80 | $127.00 | $168.00 | |
United
| Professional | $53.76 | $71.09 | $124.44 | |
Wellcare
| Facility | $193.75 | $193.75 | $193.75 | |
Wellcare
| Professional | $254.90 | $411.10 | $526.28 |