| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.00 | $32.00 | $32.00 | |
Aetna
| Professional | $32.00 | $32.00 | $32.00 | |
BCBS
| Professional | $71.92 | $77.48 | $82.64 | |
Cigna
| Professional | $17.20 | $17.20 | $17.20 | |
Medcost
| Facility | $32.00 | $33.60 | $54.40 | |
Wellcare
| Facility | $90.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $52.49 | $67.48 | $67.48 |