| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.79 | $146.57 | $293.79 | |
Aetna
| Professional | $69.17 | $84.79 | $102.99 | |
BCBS
| Professional | $78.91 | $105.26 | $224.92 | |
Cigna
| Professional | $86.77 | $127.18 | $207.13 | |
Medcost
| Facility | $73.25 | $99.88 | $147.00 | |
Medcost
| Professional | $87.82 | $87.82 | $110.54 | |
United
| Professional | $88.40 | $113.19 | $202.89 | |
Wellcare
| Facility | $158.93 | $414.44 | $414.44 | |
Wellcare
| Professional | $534.72 | $636.69 | $636.69 |