| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.03 | $74.03 | $116.82 | |
Aetna
| Professional | $58.23 | $74.03 | $85.30 | |
BCBS
| Professional | $68.64 | $101.68 | $176.92 | |
Cigna
| Professional | $66.06 | $66.06 | $66.06 | |
Medcost
| Facility | $62.52 | $74.03 | $91.80 | |
United
| Professional | $74.01 | $95.00 | $146.87 | |
Wellcare
| Facility | $122.25 | $138.93 | $378.53 | |
Wellcare
| Professional | $472.20 | $609.23 | $609.23 |