| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $84.23 | $95.10 | $95.10 | |
Cigna
| Professional | $55.34 | $55.34 | $69.18 | |
Medcost
| Facility | $21.71 | $30.59 | $54.82 | |
Medcost
| Professional | $78.00 | $78.00 | $78.00 | |
Wellcare
| Facility | $83.29 | $167.46 | $167.46 |