| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.30 | $125.66 | $231.99 | |
Aetna
| Professional | $62.01 | $75.30 | $97.68 | |
Aetna
| Professional | 25 | $228.00 | $228.00 | $228.00 |
BCBS
| Professional | $55.87 | $92.36 | $170.95 | |
Cigna
| Professional | $79.56 | $112.95 | $165.88 | |
Medcost
| Facility | $64.01 | $76.81 | $100.00 | |
Medcost
| Professional | $73.73 | $73.73 | $93.17 | |
United
| Professional | $79.44 | $105.97 | $166.32 | |
Wellcare
| Facility | $140.88 | $368.17 | $368.17 | |
Wellcare
| Professional | $475.79 | $475.79 | $530.02 |