| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.04 | $4.04 | $4.04 | |
Aetna
| Professional | $4.04 | $4.04 | $4.75 | |
BCBS
| Professional | $4.38 | $4.73 | $5.04 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 | |
Medcost
| Facility | $4.04 | $4.24 | $5.66 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $11.23 | $11.23 | $11.23 |