| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.48 | $52.48 | $52.48 | |
Aetna
| Professional | $38.90 | $52.48 | $61.66 | |
BCBS
| Professional | $66.07 | $102.33 | $147.91 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $263.03 | $263.03 | $275.42 | |
Medcost
| Facility | $43.65 | $56.23 | $91.20 | |
United
| Facility | $69.18 | $69.18 | $69.18 | |
United
| Professional | $50.12 | $64.57 | $109.65 | |
Wellcare
| Facility | $338.84 | $338.84 | $338.84 | |
Wellcare
| Professional | $338.84 | $467.74 | $467.74 |