| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.75 | $85.75 | $85.75 | |
Aetna
| Professional | $47.23 | $85.75 | $85.75 | |
BCBS
| Professional | $40.95 | $74.23 | $84.25 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $126.56 | |
Medcost
| Facility | $44.33 | $85.75 | $111.48 | |
Medcost
| Professional | $103.72 | $103.72 | $103.72 | |
Oscar Health
| Professional | $121.50 | $121.50 | $121.50 | |
United
| Professional | $48.18 | $54.96 | $83.87 | |
Wellcare
| Facility | $171.57 | $489.82 | $489.82 | |
Wellcare
| Professional | $650.47 | $755.25 | $755.25 |