| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.76 | $171.76 | $296.31 | |
Aetna
| Professional | $83.75 | $171.76 | $171.76 | |
BCBS
| Facility | $157.27 | $188.73 | $358.33 | |
BCBS
| Professional | $136.56 | $147.11 | $156.91 | |
Cigna
| Facility | $112.22 | $112.22 | $112.22 | |
Cigna
| Professional | $81.92 | $81.92 | $282.66 | |
Medcost
| Facility | $56.16 | $171.76 | $223.29 | |
Medcost
| Professional | $137.62 | $137.62 | $137.62 | |
Oscar Health
| Professional | $228.50 | $322.64 | $351.40 | |
United
| Professional | $72.00 | $96.99 | $138.18 | |
Wellcare
| Facility | $306.48 | $908.81 | $908.81 | |
Wellcare
| Professional | $984.25 | $1,428.38 | $1,428.38 |