| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.28 | $25.28 | $25.28 | |
Aetna
| Professional | $22.12 | $25.28 | $25.28 | |
Cigna
| Facility | $24.01 | $66.05 | $82.74 | |
Cigna
| Professional | $36.34 | $36.34 | $45.43 | |
Medcost
| Facility | $16.43 | $21.49 | $31.60 | |
Medcost
| Professional | $20.54 | $31.60 | $31.60 | |
United
| Professional | $13.27 | $15.80 | $31.60 | |
Wellcare
| Facility | $80.00 | $150.10 | $150.10 |