| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.63 | $103.63 | $103.63 | |
Aetna
| Professional | $100.65 | $103.63 | $115.32 | |
BCBS
| Professional | $103.42 | $108.86 | $109.15 | |
Cigna
| Professional | $129.97 | $190.03 | $299.32 | |
Medica
| Facility | $103.63 | $168.96 | $207.26 | |
Medica
| Professional | $142.97 | $228.54 | $741.56 | |
Midlands
| Facility | $144.56 | $194.78 | $299.32 | |
Midlands
| Professional | $146.63 | $194.78 | $299.32 | |
Oscar Health
| Professional | $144.60 | $144.60 | $282.80 | |
United
| Professional | $140.63 | $228.54 | $287.49 |