| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.49 | $447.53 | $1,493.80 | |
Aetna
| Professional | $34.49 | $34.49 | $34.49 | |
BCBS
| Professional | $345.66 | $372.38 | $397.20 | |
Cigna
| Professional | $2.02 | $2.02 | $2.02 | |
Medcost
| Facility | $34.49 | $34.49 | $41.39 | |
Medcost
| Professional | $12.10 | $12.10 | $12.10 | |
Wellcare
| Facility | $100.00 | $950.51 | $950.51 |