| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $281.84 | $281.84 | |
Aetna
| Professional | $234.42 | $281.84 | $354.81 | |
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $87.10 | $275.42 | $467.74 | |
Cigna
| Professional | $1,412.54 | $1,412.54 | $1,412.54 | |
Medcost
| Facility | $229.09 | $302.00 | $512.86 | |
United
| Facility | $109.65 | $331.13 | $724.44 | |
United
| Professional | $288.40 | $389.05 | $758.58 | |
Wellcare
| Facility | $2,884.03 | $2,884.03 | $2,884.03 | |
Wellcare
| Professional | $1,513.56 | $1,513.56 | $2,511.89 |