| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $41.12 | $59.87 | $59.87 | |
Ambetter
| Professional | $39.09 | $78.16 | $93.49 | |
Cigna
| Facility | $43.29 | $43.29 | $56.81 | |
Cigna
| Professional | $39.20 | $43.29 | $92.34 | |
Medcost
| Facility | $43.97 | $59.87 | $117.70 | |
Medcost
| Professional | $97.00 | $97.00 | $97.00 | |
United
| Professional | $35.24 | $56.38 | $95.80 | |
Wellcare
| Facility | $126.53 | $314.20 | $314.20 |