| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.89 | $28.84 | $28.84 | |
Cigna
| Facility | $26.92 | $26.92 | $28.84 | |
Cigna
| Professional | $22.91 | $26.92 | $60.26 | |
Medcost
| Professional | $21.38 | $22.91 | $22.91 | |
Medcost
| Facility | $13.18 | $29.51 | $44.67 | |
United
| Facility | $1.74 | $13.18 | $25.70 | |
United
| Professional | $13.49 | $21.38 | $34.67 | |
Wellcare
| Facility | $100.00 | $194.98 | $194.98 |