| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $195.95 | |
Aetna
| Professional | $163.24 | $163.24 | $179.56 | |
BCBS
| Professional | $168.18 | $168.18 | $216.50 | |
Cigna
| Facility | $179.39 | $179.39 | $179.39 | |
Cigna
| Professional | $179.39 | $179.39 | $192.05 | |
Medcost
| Facility | $163.24 | $165.48 | $173.03 | |
Medcost
| Professional | $148.75 | $148.75 | $148.75 | |
United
| Professional | $164.98 | $192.05 | $194.68 | |
Wellcare
| Facility | $218.32 | $312.75 | $596.22 |