| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $131.59 | $174.59 | $208.96 | |
BCBS
| Professional | $165.25 | $165.25 | $199.42 | |
Cigna
| Professional | $145.69 | $235.06 | $318.98 | |
Medcost
| Facility | $120.75 | $208.96 | $231.68 | |
Medcost
| Professional | $190.94 | $190.94 | $190.94 | |
United
| Facility | $150.83 | $150.83 | $150.83 | |
United
| Professional | $138.41 | $185.86 | $320.44 | |
Wellcare
| Facility | $311.43 | $696.59 | $696.59 |