| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.28 | $131.40 | $243.00 | |
Aetna
| Professional | $63.28 | $69.29 | $69.29 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Facility | $127.68 | $127.68 | $127.68 | |
Cigna
| Professional | $104.92 | $651.35 | $651.35 | |
Medcost
| Facility | $63.28 | $69.29 | $83.15 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $112.99 | $112.99 | $272.97 |