| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $59.07 | $67.93 | $67.93 | |
Cigna
| Professional | $28.08 | $28.08 | $35.11 | |
Medcost
| Facility | $12.31 | $15.60 | $34.14 | |
Medcost
| Professional | $15.70 | $15.70 | $15.70 | |
Wellcare
| Facility | $42.49 | $90.00 | $90.00 |