| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $906.54 | $906.54 | $906.54 | |
BCBS
| Professional | $45.60 | $49.76 | $60.00 | |
Cigna
| Professional | $510.39 | $510.39 | $611.51 | |
Medcost
| Facility | $906.54 | $906.54 | $906.54 | |
United
| Professional | $163.29 | $219.75 | $336.05 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |