| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.64 | $21.64 | $25.97 | |
BCBS
| Professional | $24.35 | $27.05 | $47.98 | |
Cigna
| Professional | $14.22 | $14.22 | $14.22 | |
Medcost
| Facility | $25.97 | $30.00 | $45.30 | |
Medcost
| Professional | $17.57 | $17.57 | $17.57 | |
United
| Professional | $13.53 | $16.23 | $28.31 | |
Wellcare
| Facility | $128.49 | $128.49 | $128.49 | |
Wellcare
| Professional | $146.19 | $146.19 | $202.88 |