| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.62 | $55.62 | $112.07 | |
Aetna
| Professional | $54.92 | $71.26 | $72.33 | |
BCBS
| Facility | $145.04 | $204.21 | $204.21 | |
BCBS
| Professional | $31.28 | $69.52 | $314.61 | |
Cigna
| Facility | $52.83 | $96.83 | $182.37 | |
Cigna
| Professional | $32.39 | $72.87 | $118.50 | |
Medcost
| Facility | $34.76 | $69.52 | $73.00 | |
Medcost
| Professional | $45.19 | $69.52 | $69.52 | |
United
| Professional | $29.20 | $34.76 | $69.52 | |
Wellcare
| Facility | $120.96 | $330.22 | $330.22 |