| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.20 | $345.28 | $345.28 | |
Aetna
| Professional | $240.63 | $345.28 | $345.28 | |
BCBS
| Facility | $53.84 | $64.61 | $120.91 | |
BCBS
| Professional | $70.00 | $70.00 | $80.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $34.33 | $558.75 | $698.44 | |
Medcost
| Facility | $87.82 | $345.28 | $414.34 | |
Medcost
| Professional | $63.00 | $63.00 | $68.00 | |
United
| Professional | $19.30 | $28.14 | $45.91 | |
Wellcare
| Facility | $76.00 | $80.00 | $100.00 |