| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.26 | $81.26 | $140.19 | |
Aetna
| Professional | $44.07 | $81.26 | $81.26 | |
BCBS
| Facility | $84.56 | $137.66 | $169.53 | |
BCBS
| Professional | $64.61 | $69.61 | $74.25 | |
Cigna
| Facility | $53.85 | $53.85 | $53.85 | |
Cigna
| Professional | $39.31 | $78.90 | $116.25 | |
Medcost
| Facility | $27.76 | $81.26 | $111.49 | |
Medcost
| Professional | $69.75 | $69.75 | $69.75 | |
Oscar Health
| Professional | $90.63 | $100.23 | $155.66 | |
United
| Professional | $35.33 | $45.89 | $67.14 | |
Wellcare
| Facility | $146.31 | $545.82 | $545.82 | |
Wellcare
| Professional | $551.57 | $646.35 | $646.35 |