| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.52 | $67.91 | $67.91 | |
Cigna
| Facility | $64.23 | $64.23 | $64.23 | |
Cigna
| Professional | $54.60 | $64.23 | $138.75 | |
Medcost
| Facility | $54.83 | $67.91 | $81.48 | |
Medcost
| Professional | $37.00 | $37.00 | $72.90 | |
United
| Professional | $36.58 | $55.90 | $94.67 | |
Wellcare
| Facility | $100.00 | $433.65 | $433.65 |