| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.96 | $583.12 | $583.12 | |
Aetna
| Professional | $171.96 | $171.96 | $171.96 | |
BCBS
| Professional | $49.76 | $652.41 | $652.41 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $354.90 | $354.90 | $354.90 | |
Medcost
| Facility | $171.96 | $171.96 | $223.55 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 | |
Wellcare
| Professional | $405.55 | $405.55 | $491.40 |