| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $83.18 | $83.18 | |
Aetna
| Professional | $41.69 | $83.18 | $109.65 | |
Cigna
| Professional | $48.98 | $125.89 | $158.49 | |
Medica
| Facility | $83.18 | $107.15 | $186.21 | |
Medica
| Professional | $33.88 | $51.29 | $81.28 | |
Oscar Health
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Facility | $104.71 | $104.71 | $104.71 | |
United
| Professional | $33.88 | $51.29 | $67.61 |