| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.14 | $55.14 | $130.61 | |
Aetna
| Professional | $54.45 | $55.14 | $56.72 | |
BCBS
| Facility | $116.75 | $138.47 | $196.27 | |
BCBS
| Professional | $31.01 | $31.01 | $68.92 | |
Cigna
| Facility | $52.37 | $143.55 | $180.59 | |
Cigna
| Professional | $34.74 | $79.30 | $117.39 | |
Medcost
| Facility | $36.53 | $41.35 | $76.62 | |
Medcost
| Professional | $52.67 | $81.03 | $81.03 | |
United
| Professional | $34.03 | $40.52 | $81.03 | |
Wellcare
| Facility | $119.92 | $327.37 | $327.37 |