| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.07 | $61.07 | $61.07 | |
Aetna
| Professional | $61.07 | $61.07 | $70.81 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Facility | $71.95 | $71.95 | $71.95 | |
Cigna
| Professional | $300.91 | $300.91 | $300.91 | |
Medcost
| Facility | $59.69 | $60.19 | $96.30 | |
Medcost
| Professional | $25.00 | $60.19 | $221.50 | |
United
| Professional | $64.36 | $84.65 | $169.33 | |
Wellcare
| Facility | $140.31 | $342.62 | $342.62 | |
Wellcare
| Professional | $350.78 | $539.92 | $539.92 |