| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.00 | $70.00 | $70.00 | |
Aetna
| Professional | $70.00 | $70.00 | $70.00 | |
BCBS
| Professional | $400.00 | $400.00 | $400.00 | |
Cigna
| Professional | $51.00 | $51.00 | $51.00 | |
Medcost
| Facility | $70.00 | $73.50 | $119.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |