| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.76 | $14.82 | $14.82 | |
Aetna
| Professional | $14.82 | $14.82 | $16.89 | |
BCBS
| Professional | $17.61 | $18.98 | $20.23 | |
Cigna
| Professional | $4.38 | $4.38 | $11.72 | |
Medcost
| Facility | $14.82 | $14.82 | $22.00 | |
Medcost
| Professional | $20.00 | $20.00 | $20.00 | |
United
| Professional | $3.98 | $5.24 | $8.65 | |
Wellcare
| Facility | $100.00 | $856.80 | $856.80 |