| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
BCBS
| Professional | $26.02 | $28.04 | $28.04 | |
Cigna
| Professional | $7.65 | $7.65 | $38.44 | |
Medcost
| Facility | $25.00 | $25.00 | $30.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $100.00 |