| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $60.26 | $60.26 | |
Cigna
| Facility | $44.67 | $44.67 | $44.67 | |
Cigna
| Professional | $44.67 | $44.67 | $102.33 | |
Medcost
| Professional | $42.66 | $45.71 | $45.71 | |
Medcost
| Facility | $26.30 | $60.26 | $79.43 | |
United
| Facility | $3.55 | $26.92 | $53.70 | |
United
| Professional | $27.54 | $42.66 | $72.44 | |
Wellcare
| Facility | $134.90 | $407.38 | $407.38 |