| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.07 | $97.72 | $97.72 | |
Aetna
| Professional | $79.43 | $97.72 | $97.72 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Cigna
| Professional | $69.18 | $95.50 | $95.50 | |
Hally Health
| Professional | $138.04 | $144.54 | $151.36 | |
Medica
| Facility | $97.72 | $102.33 | $169.82 | |
Oscar Health
| Professional | $257.04 | $288.40 | $338.84 |