| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.68 | $23.68 | $23.68 | |
BCBS
| Professional | $76.93 | $76.93 | $76.93 | |
Cigna
| Facility | $120.00 | $120.00 | $132.00 | |
Cigna
| Professional | $70.50 | $75.72 | $88.13 | |
Medcost
| Facility | $8.00 | $23.68 | $26.76 | |
Wellcare
| Facility | $109.00 | $109.00 | $270.00 |