| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.44 | $68.44 | $153.47 | |
Aetna
| Professional | $33.53 | $68.44 | $68.44 | |
BCBS
| Facility | $81.45 | $97.76 | $142.78 | |
BCBS
| Professional | $57.45 | $61.89 | $68.08 | |
Cigna
| Facility | $57.67 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $57.67 | $90.00 | |
Medcost
| Facility | $29.09 | $68.44 | $102.67 | |
Medcost
| Professional | $71.28 | $71.28 | $71.28 | |
Oscar Health
| Professional | $66.80 | $104.37 | $182.00 | |
United
| Professional | $34.72 | $49.27 | $71.56 | |
Wellcare
| Facility | $98.56 | $275.93 | $275.93 | |
Wellcare
| Professional | $421.74 | $421.74 | $421.74 |