| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $21.88 | $42.66 | $52.48 | |
Cigna
| Professional | $25.70 | $66.07 | $83.18 | |
Medica
| Facility | $43.65 | $58.88 | $97.72 | |
Medica
| Professional | $17.78 | $26.92 | $41.69 | |
Oscar Health
| Professional | $19.95 | $19.95 | $25.12 | |
United
| Facility | $54.95 | $54.95 | $54.95 | |
United
| Professional | $17.78 | $26.92 | $35.48 |