| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.84 | $60.26 | $95.50 | |
BCBS
| Professional | $28.18 | $72.44 | $100.00 | |
Cigna
| Professional | $30.90 | $66.07 | $147.91 | |
Medcost
| Facility | $33.88 | $69.18 | $120.23 | |
United
| Professional | $23.44 | $38.90 | $89.13 | |
Wellcare
| Facility | $269.15 | $269.15 | $269.15 | |
Wellcare
| Professional | $562.34 | $562.34 | $707.95 |