| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.78 | $74.78 | $120.73 | |
Aetna
| Professional | $60.34 | $74.78 | $87.15 | |
BCBS
| Professional | $69.23 | $105.08 | $182.84 | |
Cigna
| Professional | $65.77 | $65.77 | $65.77 | |
Medcost
| Facility | $63.56 | $74.78 | $92.73 | |
United
| Professional | $77.09 | $98.22 | $155.68 | |
Wellcare
| Facility | $120.39 | $140.29 | $368.27 | |
Wellcare
| Professional | $472.57 | $596.25 | $596.25 |