| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
Aetna
| Professional | $707.95 | $707.95 | $1,348.96 | |
BCBS
| Professional | $70.79 | $70.79 | $501.19 | |
Cigna
| Professional | $1,288.25 | $1,288.25 | $1,548.82 | |
Medcost
| Facility | $707.95 | $741.31 | $1,348.96 | |
Wellcare
| Facility | $645.65 | $645.65 | $645.65 |