| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.14 | $19.14 | $36.15 | |
Aetna
| Professional | $19.14 | $26.51 | $44.13 | |
BCBS
| Professional | $20.05 | $38.75 | $74.48 | |
Cigna
| Professional | $28.62 | $55.47 | $91.62 | |
Medica
| Facility | $19.29 | $38.71 | $80.66 | |
Medica
| Professional | $44.14 | $71.72 | $242.72 | |
Midlands
| Facility | $28.62 | $55.47 | $91.62 | |
Midlands
| Professional | $33.65 | $55.49 | $91.62 | |
Oscar Health
| Professional | $46.20 | $68.59 | $101.00 | |
United
| Professional | $44.87 | $71.72 | $93.65 |