| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,659.59 | $1,862.09 | $2,691.53 | |
BCBS
| Professional | $2,137.96 | $2,754.23 | $5,370.32 | |
Cigna
| Professional | $4,897.79 | $4,897.79 | $4,897.79 | |
Medcost
| Facility | $1,819.70 | $2,344.23 | $5,623.41 | |
Medcost
| Professional | $1,621.81 | $1,621.81 | $1,621.81 | |
United
| Professional | $1,258.93 | $1,513.56 | $3,981.07 | |
Wellcare
| Professional | $24,547.09 | $24,547.09 | $37,153.52 |