| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.81 | $73.81 | $105.56 | |
Aetna
| Professional | $73.81 | $73.81 | $81.20 | |
BCBS
| Professional | $73.81 | $73.81 | $73.81 | |
Cigna
| Facility | $72.52 | $72.52 | $72.52 | |
Cigna
| Professional | $72.52 | $72.52 | $77.70 | |
Medcost
| Facility | $73.81 | $85.47 | $87.83 | |
Medcost
| Professional | $54.39 | $54.39 | $54.39 | |
United
| Professional | $73.81 | $77.70 | $88.58 | |
Wellcare
| Facility | $80.09 | $80.09 | $198.00 |