| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.88 | $194.29 | $223.37 | |
BCBS
| Professional | $193.39 | $297.16 | $517.04 | |
Cigna
| Professional | $184.50 | $184.50 | $184.50 | |
Medcost
| Professional | $182.70 | $182.70 | $220.12 | |
United
| Professional | $212.90 | $280.14 | $432.19 | |
Wellcare
| Professional | $1,338.62 | $1,683.30 | $1,683.30 |