| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $97.72 | $97.72 | |
Aetna
| Professional | $48.98 | $97.72 | $125.89 | |
Cigna
| Professional | $57.54 | $147.91 | $181.97 | |
Medica
| Facility | $97.72 | $125.89 | $218.78 | |
Medica
| Professional | $39.81 | $60.26 | $93.33 | |
Oscar Health
| Professional | $50.12 | $50.12 | $50.12 | |
United
| Facility | $123.03 | $123.03 | $123.03 | |
United
| Professional | $39.81 | $60.26 | $79.43 |