| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.12 | $50.12 | $50.12 | |
BCBS
| Professional | $50.12 | $60.26 | $60.26 | |
Medcost
| Facility | $1.32 | $1.32 | $1.32 | |
Oscar Health
| Professional | $0.60 | $0.60 | $0.60 | |
United
| Professional | $575.44 | $575.44 | $575.44 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $6.92 | $6.92 | $6.92 |