| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.74 | $29.74 | $29.74 | |
Aetna
| Professional | $29.74 | $29.74 | $37.17 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Cigna
| Professional | $872.98 | $872.98 | $872.98 | |
Medcost
| Facility | $29.74 | $31.23 | $41.64 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |