| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $34.67 | $50.12 | |
BCBS
| Professional | $19.50 | $39.81 | $70.79 | |
Cigna
| Professional | $22.91 | $22.91 | $22.91 | |
Medcost
| Professional | $28.18 | $28.18 | $29.51 | |
Medcost
| Facility | $25.70 | $41.69 | $64.57 | |
Medcost
| Professional | $28.84 | $28.84 | $28.84 | |
United
| Professional | $15.14 | $26.30 | $44.67 | |
Wellcare
| Professional | $218.78 | $218.78 | $331.13 |