| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.00 | $45.00 | $45.00 | |
Aetna
| Professional | $45.00 | $45.00 | $45.00 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Cigna
| Facility | $379.93 | $379.93 | $379.93 | |
Cigna
| Professional | $277.35 | $379.93 | $379.93 | |
Medcost
| Facility | $45.00 | $45.00 | $54.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |