| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $238.98 | $238.98 | $238.98 | |
BCBS
| Professional | $471.15 | $471.15 | $471.15 | |
Cigna
| Facility | $180.13 | $180.13 | $180.13 | |
Cigna
| Professional | $153.11 | $180.13 | $180.13 | |
Medcost
| Facility | $238.98 | $238.98 | $286.77 | |
Wellcare
| Facility | $90.00 | $100.00 | $100.00 |