| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $63.53 | $63.53 | $63.53 | |
Cigna
| Professional | $28.91 | $28.91 | $36.14 | |
Medcost
| Facility | $11.44 | $16.47 | $38.76 | |
Medcost
| Professional | $20.75 | $20.75 | $20.75 | |
Wellcare
| Facility | $43.90 | $90.00 | $90.00 |