| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $220.13 | $436.60 | $7,278.00 | |
Aetna
| Professional | $196.13 | $277.94 | $505.79 | |
BCBS
| Professional | $236.49 | $380.27 | $659.50 | |
Cigna
| Professional | $246.77 | $374.50 | $696.09 | |
Medcost
| Facility | $220.13 | $361.33 | $456.97 | |
Medcost
| Professional | $394.35 | $394.35 | $394.35 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
United
| Professional | $278.42 | $334.32 | $837.83 | |
Wellcare
| Facility | $55.00 | $1,507.44 | $1,507.44 | |
Wellcare
| Professional | $1,591.84 | $1,873.13 | $2,871.68 |