| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.85 | $66.58 | $136.49 | |
BCBS
| Professional | $71.23 | $83.81 | $83.81 | |
Baylor Scott & White
| Professional | $100.52 | $100.52 | $141.63 | |
Cigna
| Professional | $88.98 | $88.98 | $88.98 | |
Lucent Health
| Professional | $850.50 | $989.06 | $994.59 | |
Moda Health
| Professional | $113.45 | $140.24 | $179.90 | |
Oscar Health
| Professional | $106.04 | $177.60 | $248.60 | |
Providence
| Professional | $88.98 | $88.98 | $171.61 | |
United
| Professional | $53.27 | $91.84 | $200.80 | |
Wellpoint
| Professional | $82.55 | $96.40 | $131.25 |