| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $44.96 | $100.84 | |
Aetna
| Professional | $19.67 | $44.96 | $44.96 | |
BCBS
| Facility | $60.81 | $76.17 | $93.80 | |
BCBS
| Professional | $37.75 | $40.67 | $43.38 | |
Cigna
| Facility | $38.15 | $38.15 | $42.22 | |
Cigna
| Professional | $32.43 | $38.15 | $59.06 | |
Medcost
| Facility | $19.10 | $44.96 | $67.45 | |
Medcost
| Professional | $46.83 | $46.83 | $46.83 | |
Oscar Health
| Professional | $43.90 | $68.54 | $119.50 | |
United
| Professional | $22.21 | $32.84 | $47.03 | |
Wellcare
| Facility | $80.00 | $181.21 | $181.21 | |
Wellcare
| Professional | $276.89 | $276.89 | $276.89 |