| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.00 | $20.00 | $100.97 | |
Aetna
| Professional | $20.00 | $20.00 | $20.00 | |
BCBS
| Facility | $15.38 | $19.95 | $19.95 | |
BCBS
| Professional | $44.69 | $48.14 | $51.35 | |
Cigna
| Professional | $28.91 | $28.91 | $28.91 | |
Medcost
| Facility | $20.00 | $21.00 | $34.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $22.50 | $22.50 | $22.50 |