| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.25 | $80.63 | $124.98 | |
Aetna
| Professional | $61.25 | $73.25 | $89.39 | |
BCBS
| Professional | $55.40 | $84.66 | $174.02 | |
Cigna
| Professional | $78.39 | $110.50 | $168.21 | |
Medcost
| Facility | $63.07 | $76.91 | $96.76 | |
Medcost
| Professional | $70.52 | $70.52 | $90.92 | |
United
| Professional | $82.63 | $109.61 | $171.61 | |
Wellcare
| Facility | $139.30 | $365.94 | $365.94 | |
Wellcare
| Professional | $462.92 | $462.92 | $512.83 |