| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $98.05 | $113.38 | $130.07 | |
BCBS
| Professional | $114.45 | $173.18 | $301.32 | |
Cigna
| Professional | $109.51 | $109.51 | $109.51 | |
Medcost
| Professional | $107.70 | $107.70 | $128.28 | |
United
| Professional | $123.97 | $159.62 | $253.15 | |
Wellcare
| Professional | $787.82 | $1,002.90 | $1,002.90 |