| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $44.67 | $44.67 | |
Aetna
| Professional | $44.67 | $44.67 | $44.67 | |
BCBS
| Professional | $45.71 | $60.26 | $60.26 | |
Cigna
| Facility | $380.19 | $380.19 | $380.19 | |
Cigna
| Professional | $275.42 | $275.42 | $380.19 | |
Medcost
| Facility | $44.67 | $44.67 | $75.86 | |
Oscar Health
| Professional | $0.60 | $0.60 | $0.60 | |
United
| Facility | $489.78 | $489.78 | $489.78 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |