| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.14 | $33.61 | $33.61 | |
Cigna
| Facility | $29.99 | $29.99 | $32.36 | |
Cigna
| Professional | $25.49 | $29.99 | $52.88 | |
Medcost
| Facility | $16.34 | $33.61 | $42.71 | |
Medcost
| Professional | $42.71 | $42.71 | $42.71 | |
United
| Facility | $2.06 | $16.43 | $29.39 | |
United
| Professional | $16.34 | $25.42 | $40.68 | |
Wellcare
| Facility | $80.00 | $215.23 | $215.23 |