| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.79 | $118.79 | $118.79 | |
Aetna
| Professional | $91.54 | $105.94 | $120.30 | |
BCBS
| Professional | $100.00 | $145.25 | $274.11 | |
Cigna
| Professional | $141.06 | $141.06 | $141.06 | |
Medcost
| Facility | $76.29 | $114.25 | $159.78 | |
Medcost
| Professional | $103.65 | $103.65 | $108.99 | |
United
| Professional | $106.93 | $137.88 | $218.74 | |
Wellcare
| Facility | $223.54 | $617.20 | $617.20 | |
Wellcare
| Professional | $680.22 | $991.58 | $1,314.08 |