| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.27 | $19.27 | $19.27 | |
BCBS
| Professional | $35.10 | $35.10 | $61.35 | |
Cigna
| Professional | $68.79 | $141.00 | $176.25 | |
Medcost
| Facility | $19.27 | $19.27 | $23.12 | |
Wellcare
| Facility | $80.00 | $100.00 | $100.00 |