| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $164.07 | $194.54 | $349.12 | |
BCBS
| Professional | $190.11 | $206.37 | $237.57 | |
Cigna
| Professional | $198.79 | $198.79 | $198.79 | |
Lucent Health
| Professional | $1,539.53 | $1,539.53 | $1,891.95 | |
Moda Health
| Professional | $204.18 | $356.52 | $506.69 | |
Oscar Health
| Professional | $225.93 | $285.85 | $451.86 | |
Providence
| Professional | $198.79 | $198.79 | $198.79 | |
United
| Professional | $210.47 | $289.39 | $413.26 | |
Wellpoint
| Professional | $184.41 | $204.18 | $293.63 |