| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $369.90 | $369.90 | $369.90 | |
Aetna
| Professional | $369.90 | $369.90 | $369.90 | |
BCBS
| Professional | $509.80 | $560.77 | $566.44 | |
Cigna
| Facility | $325.37 | $638.03 | $638.03 | |
Cigna
| Professional | $325.37 | $638.03 | $983.87 | |
Medica
| Facility | $292.02 | $634.90 | $2,714.31 | |
Medica
| Professional | $200.16 | $289.37 | $453.98 | |
Midlands
| Facility | $636.17 | $638.03 | $803.91 | |
Midlands
| Professional | $569.00 | $754.04 | $1,314.47 | |
Oscar Health
| Professional | $582.88 | $636.75 | $1,183.26 | |
United
| Professional | $209.79 | $289.37 | $391.99 |