| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $162.84 | $211.46 | $263.20 | |
BCBS
| Professional | $200.61 | $200.61 | $223.20 | |
Cigna
| Professional | $179.84 | $309.93 | $415.60 | |
Medcost
| Facility | $147.84 | $256.08 | $286.82 | |
Medcost
| Professional | $236.39 | $236.39 | $236.39 | |
United
| Professional | $170.85 | $219.03 | $429.02 | |
Wellcare
| Facility | $436.16 | $988.90 | $988.90 |