| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $25.12 | $25.12 | |
BCBS
| Professional | $93.33 | $93.33 | $100.00 | |
Cigna
| Facility | $120.23 | $131.83 | $173.78 | |
Cigna
| Professional | $18.62 | $87.10 | $120.23 | |
Medcost
| Facility | $7.94 | $25.70 | $29.51 | |
Wellcare
| Facility | $125.89 | $125.89 | $125.89 |