| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $134.90 | $208.93 | |
Aetna
| Professional | $42.66 | $52.48 | $75.86 | |
BCBS
| Facility | $112.20 | $323.59 | $323.59 | |
BCBS
| Professional | $28.18 | $28.18 | $51.29 | |
Cigna
| Facility | $42.66 | $97.72 | $162.18 | |
Cigna
| Professional | $38.02 | $69.18 | $85.11 | |
Medcost
| Facility | $32.36 | $50.12 | $74.13 | |
Medcost
| Professional | $40.74 | $40.74 | $60.26 | |
United
| Facility | $30.90 | $75.86 | $95.50 | |
United
| Professional | $30.90 | $39.81 | $79.43 | |
Wellcare
| Facility | $295.12 | $295.12 | $295.12 |