| 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 | $45.60 | $49.76 | $63.00 | |
Cigna
| Professional | $1.33 | $1.33 | $1.33 | |
Medcost
| Facility | $4.00 | $4.20 | $6.80 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $81.98 | $81.98 | $81.98 |