| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.75 | $237.75 | $237.75 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
Anthem BCBS
| Professional | $16.92 | $19.82 | $19.91 | |
CareSource
| Facility | $120.00 | $120.00 | $260.00 | |
Cigna
| Professional | $161.91 | $161.91 | $161.91 | |
Oscar Health
| Professional | $102.30 | $110.87 | $125.21 |