| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $61.16 | $61.16 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $73.47 | $79.15 | $84.42 | |
Cigna
| Facility | $32.74 | $32.74 | $32.74 | |
Cigna
| Professional | $23.90 | $32.74 | $32.74 | |
Medcost
| Facility | $25.00 | $25.00 | $36.00 | |
Medcost
| Professional | $31.00 | $31.00 | $31.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |