| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.38 | $79.38 | $79.38 | |
Aetna
| Professional | $76.95 | $79.38 | $88.33 | |
BCBS
| Professional | $79.15 | $83.31 | $83.59 | |
Cigna
| Professional | $99.38 | $145.72 | $229.53 | |
Medica
| Facility | $79.38 | $129.26 | $158.76 | |
Medica
| Professional | $109.68 | $175.31 | $567.27 | |
Midlands
| Facility | $110.65 | $149.37 | $229.53 | |
Midlands
| Professional | $112.36 | $149.37 | $229.53 | |
Oscar Health
| Professional | $110.00 | $110.00 | $216.40 | |
United
| Professional | $109.68 | $186.09 | $220.52 |