| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $316.23 | $316.23 | $354.81 | |
BCBS
| Professional | $245.47 | $245.47 | $245.47 | |
Cigna
| Professional | $288.40 | $446.68 | $549.54 | |
Medcost
| Facility | $257.04 | $316.23 | $416.87 | |
United
| Facility | $380.19 | $380.19 | $380.19 | |
United
| Professional | $302.00 | $380.19 | $645.65 | |
Wellcare
| Facility | $2,187.76 | $2,187.76 | $2,187.76 |