| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $209.99 | $358.80 | $636.04 | |
Aetna
| Professional | $122.05 | $141.40 | $181.21 | |
Cigna
| Professional | $286.13 | $288.99 | $357.66 | |
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $141.40 | $181.21 | $306.24 | |
Medica
| Professional | $661.43 | $661.43 | $661.43 | |
Oscar Health
| Professional | $209.90 | $222.40 | $243.50 |