| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $137.63 | $172.05 | $206.86 | |
BCBS
| Professional | $161.35 | $161.35 | $194.99 | |
Cigna
| Professional | $145.69 | $251.13 | $380.90 | |
Medcost
| Facility | $119.67 | $206.86 | $231.68 | |
Medcost
| Professional | $190.94 | $190.94 | $190.94 | |
United
| Professional | $149.28 | $182.61 | $346.95 | |
Wellcare
| Facility | $401.32 | $907.11 | $907.11 |