| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $290.48 | $318.48 | $363.49 | |
BCBS
| Professional | $243.64 | $243.64 | $243.64 | |
Cigna
| Professional | $289.52 | $443.25 | $554.05 | |
Medcost
| Facility | $290.48 | $318.48 | $417.41 | |
Medcost
| Professional | $325.13 | $325.13 | $325.13 | |
United
| Professional | $289.00 | $365.59 | $629.11 | |
Wellcare
| Facility | $696.57 | $1,988.64 | $1,988.64 |