| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.83 | $47.77 | $54.49 | |
Aetna
| Professional | $20.83 | $20.83 | $29.28 | |
BCBS
| Professional | $60.00 | $199.76 | $199.76 | |
Cigna
| Facility | $186.00 | $186.00 | $186.00 | |
Medcost
| Facility | $20.83 | $20.83 | $26.25 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $100.88 | $100.88 | $272.97 |