| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.21 | $73.45 | $73.45 | |
Cigna
| Facility | $65.95 | $65.95 | $75.40 | |
Cigna
| Professional | $56.07 | $65.95 | $114.38 | |
Medcost
| Facility | $43.04 | $73.45 | $107.16 | |
Medcost
| Professional | $112.52 | $112.52 | $112.52 | |
United
| Professional | $43.04 | $61.76 | $107.16 | |
Wellcare
| Facility | $118.09 | $473.38 | $473.38 |