| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $79.43 | $190.55 | |
Aetna
| Professional | $61.66 | $72.44 | $104.71 | |
Ambetter
| Professional | $70.79 | $79.43 | $134.90 | |
BCBS
| Professional | $50.12 | $77.62 | $109.65 | |
Cigna
| Professional | $77.62 | $109.65 | $162.18 | |
Medcost
| Facility | $61.66 | $75.86 | $97.72 | |
United
| Professional | $74.13 | $95.50 | $147.91 | |
Wellcare
| Facility | $467.74 | $467.74 | $467.74 | |
Wellcare
| Professional | $512.86 | $512.86 | $512.86 |