| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.62 | $35.61 | $35.61 | |
Cigna
| Facility | $33.33 | $33.33 | $33.79 | |
Cigna
| Professional | $28.87 | $33.33 | $55.88 | |
Medcost
| Facility | $18.94 | $35.61 | $46.66 | |
Medcost
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $19.64 | $26.27 | $48.51 | |
Wellcare
| Facility | $80.00 | $240.40 | $240.40 |