| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.31 | $29.59 | $29.59 | |
Cigna
| Facility | $27.09 | $27.09 | $28.60 | |
Cigna
| Professional | $23.03 | $27.09 | $48.00 | |
Medcost
| Facility | $13.13 | $29.59 | $35.51 | |
Medcost
| Professional | $34.29 | $34.29 | $34.29 | |
United
| Professional | $13.12 | $21.43 | $34.95 | |
Wellcare
| Facility | $80.00 | $194.27 | $194.27 |