| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.71 | $49.71 | $103.15 | |
Aetna
| Professional | $43.50 | $49.71 | $49.71 | |
Cigna
| Facility | $47.22 | $80.78 | $162.80 | |
Cigna
| Professional | $71.45 | $89.31 | $106.39 | |
Medcost
| Facility | $32.31 | $49.71 | $62.14 | |
Medcost
| Professional | $40.39 | $62.14 | $62.14 | |
United
| Facility | $37.28 | $73.33 | $74.56 | |
United
| Professional | $31.07 | $31.07 | $62.14 | |
Wellcare
| Facility | $108.12 | $295.17 | $295.17 |