| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $79.64 | $132.08 | $132.08 | |
Ambetter
| Professional | $164.42 | $164.42 | $167.99 | |
Cigna
| Facility | $129.12 | $129.12 | $132.60 | |
Cigna
| Professional | $109.75 | $129.12 | $253.13 | |
Medcost
| Facility | $77.33 | $132.08 | $202.18 | |
Medcost
| Professional | $182.00 | $182.00 | $182.00 | |
United
| Professional | $68.48 | $111.20 | $158.50 | |
Wellcare
| Facility | $222.93 | $944.78 | $944.78 |