| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.40 | $102.17 | $134.60 | |
BCBS
| Professional | $76.72 | $105.26 | $213.49 | |
Cigna
| Professional | $77.27 | $117.60 | $238.71 | |
Medcost
| Professional | $89.68 | $146.00 | $146.00 | |
United
| Professional | $87.70 | $122.94 | $280.26 | |
Wellcare
| Professional | $1,496.82 | $1,496.82 | $1,496.82 |