| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $49.76 | $75.00 | $100.00 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medcost
| Facility | $0.02 | $0.02 | $0.02 | |
United
| Professional | $9.00 | $11.40 | $24.16 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |