| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.78 | $121.78 | $197.21 | |
Aetna
| Professional | $98.59 | $121.78 | $143.22 | |
BCBS
| Professional | $113.17 | $171.65 | $298.67 | |
Cigna
| Professional | $107.43 | $107.43 | $107.43 | |
Medcost
| Facility | $103.51 | $121.78 | $151.01 | |
United
| Professional | $120.35 | $157.33 | $254.32 | |
Wellcare
| Facility | $197.09 | $229.07 | $601.19 | |
Wellcare
| Professional | $768.84 | $973.43 | $973.43 |