| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.52 | $73.61 | $84.69 | |
BCBS
| Professional | $73.45 | $113.05 | $196.70 | |
Cigna
| Professional | $69.93 | $69.93 | $69.93 | |
Medcost
| Professional | $68.33 | $68.33 | $83.74 | |
United
| Professional | $80.70 | $107.79 | $164.96 | |
Wellcare
| Professional | $510.91 | $636.00 | $636.00 |