| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.71 | $67.91 | $67.91 | |
Cigna
| Facility | $60.46 | $60.46 | $63.70 | |
Cigna
| Professional | $51.85 | $60.46 | $111.00 | |
Medcost
| Facility | $39.60 | $67.91 | $103.51 | |
Medcost
| Professional | $89.00 | $89.00 | $89.00 | |
United
| Professional | $38.97 | $55.11 | $92.51 | |
Wellcare
| Facility | $108.45 | $433.65 | $433.65 |