| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.06 | $68.66 | $70.70 | |
Aetna
| Professional | $3.90 | $16.60 | $25.06 | |
Cigna
| Facility | $23.80 | $58.45 | $81.84 | |
Cigna
| Professional | $25.06 | $35.93 | $44.91 | |
Medcost
| Facility | $18.80 | $25.06 | $31.33 | |
Medcost
| Professional | $20.36 | $31.33 | $31.33 | |
United
| Professional | $14.10 | $15.67 | $31.33 | |
Wellcare
| Facility | $54.51 | $148.82 | $148.82 |