| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $172.81 | $189.48 | $216.25 | |
BCBS
| Professional | $145.04 | $145.04 | $145.04 | |
Cigna
| Professional | $172.39 | $263.63 | $329.53 | |
Medcost
| Facility | $172.81 | $189.48 | $248.32 | |
Medcost
| Professional | $193.51 | $193.51 | $193.51 | |
United
| Professional | $180.60 | $217.62 | $489.06 | |
Wellcare
| Facility | $414.47 | $1,183.27 | $1,183.27 |