| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.28 | $345.28 | $345.28 | |
Aetna
| Professional | $210.13 | $345.28 | $345.28 | |
BCBS
| Facility | $61.18 | $98.18 | $120.91 | |
BCBS
| Professional | $70.00 | $70.00 | $80.00 | |
Cigna
| Facility | $40.29 | $318.39 | $318.39 | |
Cigna
| Professional | $270.64 | $270.64 | $558.75 | |
Medcost
| Facility | $87.82 | $345.28 | $414.34 | |
Medcost
| Professional | $542.10 | $542.10 | $542.10 | |
United
| Professional | $18.36 | $28.14 | $51.63 | |
Wellcare
| Facility | $76.00 | $80.00 | $100.00 |