| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $47.79 | $76.92 | $106.60 | |
BCBS
| Professional | $47.43 | $89.16 | $224.06 | |
Cigna
| Professional | $43.45 | $84.61 | $183.95 | |
Medcost
| Professional | $124.00 | $124.00 | $124.00 | |
United
| Professional | $50.09 | $88.36 | $133.08 | |
Wellcare
| Professional | $373.54 | $674.78 | $837.45 |