| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.00 | $97.00 | $97.00 | |
Aetna
| Professional | $97.00 | $97.00 | $97.00 | |
BCBS
| Professional | $69.14 | $74.48 | $79.45 | |
Cigna
| Facility | $94.60 | $94.60 | $94.60 | |
Cigna
| Professional | $69.06 | $94.60 | $97.44 | |
Medcost
| Facility | $97.00 | $97.00 | $116.40 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |