| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $70.06 | $116.07 | $119.52 | |
BCBS
| Professional | $75.00 | $106.03 | $204.31 | |
Cigna
| Professional | $106.49 | $147.05 | $267.33 | |
Medcost
| Professional | $94.25 | $94.25 | $94.25 | |
United
| Professional | $73.12 | $94.83 | $198.89 | |
Wellcare
| Professional | $767.91 | $767.91 | $983.48 |