| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.59 | $10.59 | $10.59 | |
BCBS
| Professional | $20.64 | $20.64 | $20.64 | |
Cigna
| Facility | $40.00 | $40.00 | $44.00 | |
Cigna
| Professional | $4.83 | $36.56 | $40.00 | |
Medcost
| Facility | $8.00 | $10.59 | $11.97 | |
Wellcare
| Facility | $90.00 | $90.00 | $130.00 |