| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.00 | $4.00 | $4.00 | |
Aetna
| Professional | $4.00 | $4.00 | $4.00 | |
BCBS
| Professional | $3.15 | $3.39 | $3.62 | |
Cigna
| Professional | $1.76 | $1.76 | $1.76 | |
Medcost
| Facility | $4.00 | $4.20 | $6.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $7.20 | $9.26 | $9.26 |