| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.95 | $22.94 | $22.94 | |
Cigna
| Facility | $19.50 | $21.85 | $21.85 | |
Cigna
| Professional | $18.57 | $21.85 | $37.88 | |
Medcost
| Facility | $12.21 | $22.94 | $30.28 | |
Medcost
| Professional | $20.00 | $20.00 | $23.00 | |
United
| Professional | $12.21 | $16.97 | $31.25 | |
Wellcare
| Facility | $75.00 | $155.56 | $155.56 |