| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.59 | $18.59 | $18.59 | |
Aetna
| Professional | $14.33 | $16.59 | $18.59 | |
BCBS
| Professional | $16.60 | $22.25 | $50.94 | |
Cigna
| Professional | $15.77 | $15.77 | $15.77 | |
Medcost
| Facility | $12.99 | $18.55 | $24.07 | |
Medcost
| Professional | $15.99 | $15.99 | $18.55 | |
United
| Professional | $17.93 | $22.41 | $36.86 | |
Wellcare
| Facility | $31.07 | $75.00 | $89.51 | |
Wellcare
| Professional | $113.84 | $144.08 | $144.08 |