| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.88 | $45.71 | $46.77 | |
Cigna
| Facility | $42.66 | $42.66 | $42.66 | |
Cigna
| Professional | $36.31 | $42.66 | $93.33 | |
Medcost
| Facility | $43.65 | $46.77 | $61.66 | |
United
| Facility | $3.02 | $24.55 | $45.71 | |
United
| Professional | $24.55 | $35.48 | $56.23 | |
Wellcare
| Facility | $100.00 | $309.03 | $309.03 |