| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $74.13 | $114.82 | |
Aetna
| Professional | $58.88 | $67.61 | $83.18 | |
BCBS
| Professional | $72.44 | $107.15 | $181.97 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Medcost
| Facility | $60.26 | $74.13 | $93.33 | |
United
| Professional | $74.13 | $93.33 | $144.54 | |
Wellcare
| Facility | $467.74 | $467.74 | $467.74 | |
Wellcare
| Professional | $467.74 | $602.56 | $602.56 |