| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.84 | $16.84 | $16.84 | |
Aetna
| Professional | $16.84 | $16.84 | $20.21 | |
BCBS
| Facility | $10.91 | $10.91 | $20.84 | |
Cigna
| Professional | $11.05 | $11.05 | $11.05 | |
Medcost
| Facility | $13.30 | $15.32 | $20.21 | |
Medcost
| Professional | $13.30 | $13.30 | $13.30 | |
Wellcare
| Facility | $80.00 | $85.00 | $100.00 | |
Wellcare
| Professional | $90.36 | $90.36 | $107.01 |