| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.85 | $30.85 | $30.85 | |
BCBS
| Professional | $71.97 | $71.97 | $85.16 | |
Cigna
| Professional | $102.75 | $128.44 | $130.13 | |
Medcost
| Facility | $8.00 | $30.85 | $34.86 | |
Wellcare
| Facility | $126.95 | $126.95 | $350.00 |