| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.15 | $37.15 | $80.31 | |
Aetna
| Professional | $19.20 | $37.15 | $37.15 | |
BCBS
| Professional | $29.33 | $31.60 | $31.60 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 | |
Medcost
| Facility | $37.15 | $37.15 | $48.31 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |