| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $302.94 | |
Aetna
| Professional | $244.50 | $275.39 | $275.39 | |
BCBS
| Professional | $272.07 | $272.07 | $272.07 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $324.00 | |
Medcost
| Facility | $275.39 | $291.92 | $356.40 | |
Medcost
| Professional | $226.80 | $226.80 | $226.80 | |
United
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $247.34 | $262.18 | $324.00 | |
Wellcare
| Facility | $307.80 | $307.80 | $648.00 |