| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.73 | $177.45 | $411.34 | |
Aetna
| Professional | $52.38 | $63.02 | $63.02 | |
BCBS
| Facility | $97.47 | $133.19 | $164.33 | |
BCBS
| Professional | $35.45 | $35.45 | $47.26 | |
Cigna
| Facility | $19.64 | $59.85 | $206.39 | |
Cigna
| Professional | $18.35 | $32.18 | $113.58 | |
Medcost
| Facility | $39.39 | $40.65 | $74.67 | |
Medcost
| Professional | $13.50 | $39.01 | $52.00 | |
United
| Facility | $40.20 | $47.58 | $92.95 | |
United
| Professional | $19.32 | $33.08 | $63.44 | |
Wellcare
| Facility | $137.06 | $374.16 | $374.16 |