| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.38 | $18.62 | $23.44 | |
Medcost
| Professional | $10.00 | $10.00 | $11.48 | |
United
| Facility | $6.46 | $9.12 | $16.98 | |
United
| Professional | $7.59 | $9.12 | $22.91 | |
Wellcare
| Facility | $89.13 | $89.13 | $89.13 |