| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $412.99 | $412.99 | $412.99 | |
BCBS
| Professional | $935.00 | $935.00 | $935.00 | |
Cigna
| Facility | $296.00 | $296.00 | $296.00 | |
Cigna
| Professional | $251.60 | $296.00 | $296.00 | |
Medcost
| Facility | $412.99 | $412.99 | $466.68 | |
Wellcare
| Facility | $90.00 | $100.00 | $100.00 |