| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.48 | $230.23 | $371.90 | |
Aetna
| Professional | $137.80 | $169.96 | $253.83 | |
BCBS
| Professional | $133.79 | $133.79 | $222.42 | |
Cigna
| Facility | $186.76 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $199.95 | |
Medcost
| Facility | $151.33 | $160.41 | $219.95 | |
Medcost
| Professional | $123.19 | $123.19 | $123.19 | |
United
| Professional | $166.75 | $191.76 | $200.10 | |
Wellcare
| Facility | $333.64 | $392.54 | $507.70 |