| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.41 | $18.41 | $18.41 | |
Aetna
| Professional | $18.41 | $18.41 | $18.41 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medcost
| Facility | $18.41 | $18.41 | $24.85 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |