| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $19.05 | $28.18 | |
Cigna
| Facility | $18.20 | $18.20 | $18.20 | |
Medcost
| Professional | $20.89 | $63.10 | $69.18 | |
Medcost
| Facility | $11.22 | $20.42 | $89.13 | |
United
| Facility | $30.20 | $50.12 | $67.61 | |
Wellcare
| Facility | $562.34 | $562.34 | $562.34 |