| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $59.12 | $59.12 | $59.12 | |
Cigna
| Professional | $27.26 | $27.26 | $34.07 | |
Medcost
| Facility | $11.83 | $15.33 | $36.07 | |
Medcost
| Professional | $19.30 | $19.30 | $19.30 | |
Wellcare
| Facility | $40.86 | $90.00 | $90.00 |