| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.69 | $21.69 | $61.18 | |
Aetna
| Professional | $18.98 | $21.69 | $21.69 | |
Cigna
| Facility | $20.60 | $50.10 | $71.17 | |
Cigna
| Professional | $21.69 | $31.39 | $39.24 | |
Medcost
| Facility | $16.27 | $21.69 | $27.11 | |
Medcost
| Professional | $17.62 | $27.11 | $27.11 | |
United
| Facility | $12.60 | $16.27 | $27.11 | |
United
| Professional | $12.60 | $13.56 | $27.11 | |
Wellcare
| Facility | $50.00 | $128.77 | $128.77 |