| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.00 | $30.00 | $30.00 | |
Aetna
| Professional | $30.00 | $30.00 | $30.00 | |
BCBS
| Professional | $45.71 | $49.24 | $52.52 | |
Cigna
| Professional | $19.32 | $19.32 | $19.32 | |
Medcost
| Facility | $30.00 | $30.00 | $36.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |