| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.83 | $103.83 | $164.22 | |
Aetna
| Professional | $82.02 | $103.83 | $119.88 | |
BCBS
| Professional | $96.28 | $142.94 | $248.71 | |
Cigna
| Professional | $92.55 | $92.55 | $92.55 | |
Medcost
| Facility | $87.88 | $103.83 | $128.75 | |
United
| Professional | $103.95 | $138.72 | $210.40 | |
Wellcare
| Facility | $171.26 | $194.76 | $529.32 | |
Wellcare
| Professional | $661.36 | $852.30 | $852.30 |