| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.90 | $345.28 | $345.28 | |
Aetna
| Professional | $143.10 | $324.29 | $345.28 | |
BCBS
| Facility | $34.86 | $98.18 | $120.91 | |
BCBS
| Professional | $70.00 | $539.00 | $539.00 | |
Cigna
| Facility | $16.89 | $16.89 | $64.00 | |
Cigna
| Professional | $66.81 | $66.81 | $558.75 | |
Medcost
| Facility | $33.00 | $296.88 | $397.07 | |
Medcost
| Professional | $59.00 | $59.00 | $59.00 | |
United
| Professional | $15.45 | $22.25 | $29.97 | |
Wellcare
| Facility | $76.00 | $80.00 | $100.00 |