| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.91 | $27.91 | $27.91 | |
Aetna
| Professional | $21.10 | $24.76 | $28.78 | |
BCBS
| Professional | $25.59 | $45.06 | $74.87 | |
Cigna
| Professional | $44.04 | $44.04 | $44.04 | |
Medcost
| Facility | $17.51 | $26.25 | $40.54 | |
Medcost
| Professional | $24.19 | $24.19 | $25.01 | |
United
| Professional | $24.45 | $31.54 | $52.76 | |
Wellcare
| Facility | $51.46 | $142.59 | $142.59 | |
Wellcare
| Professional | $156.33 | $258.62 | $412.80 |