| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.31 | $26.31 | $26.31 | |
BCBS
| Professional | $117.36 | $117.36 | $117.36 | |
Cigna
| Facility | $100.00 | $100.00 | $110.00 | |
Cigna
| Professional | $100.00 | $126.00 | $157.50 | |
Medcost
| Facility | $26.31 | $29.73 | $75.00 | |
Wellcare
| Facility | $120.00 | $120.00 | $120.00 |