| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.00 | $3.00 | $3.00 | |
Aetna
| Professional | $3.00 | $3.00 | $3.00 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Cigna
| Professional | $8.50 | $8.50 | $8.50 | |
Medcost
| Facility | $3.00 | $3.15 | $5.09 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $45.07 | $45.07 | $45.07 |