| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.29 | $21.48 | $35.35 | |
BCBS
| Professional | $17.70 | $28.83 | $45.45 | |
Cigna
| Professional | $22.32 | $22.32 | $22.32 | |
Medcost
| Facility | $23.00 | $46.61 | $52.00 | |
United
| Professional | $14.69 | $25.10 | $43.71 | |
Wellcare
| Facility | $130.72 | $130.72 | $130.72 | |
Wellcare
| Professional | $207.00 | $257.24 | $257.24 |