| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $21.46 | $25.76 | $27.52 | |
Cigna
| Professional | $11.15 | $11.15 | $13.94 | |
Medcost
| Facility | $4.88 | $6.18 | $14.88 | |
Medcost
| Professional | $7.28 | $7.28 | $7.28 | |
Wellcare
| Facility | $16.84 | $90.00 | $90.00 |