| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $275.70 | $275.70 | $275.70 | |
BCBS
| Professional | $640.13 | $640.13 | $640.13 | |
Cigna
| Facility | $226.63 | $226.63 | $226.63 | |
Cigna
| Professional | $192.64 | $226.63 | $226.63 | |
Medcost
| Facility | $275.70 | $275.70 | $318.69 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |