| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $109.74 | $130.08 | $130.08 | |
Cigna
| Professional | $13.17 | $13.17 | $13.17 | |
Hally Health
| Professional | $183.75 | $190.26 | $313.95 | |
Medica
| Facility | $130.08 | $130.08 | $219.84 | |
Oscar Health
| Professional | $211.63 | $225.16 | $238.89 |