| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.78 | $4.63 | $4.63 | |
Cigna
| Facility | $4.20 | $4.20 | $4.68 | |
Cigna
| Professional | $3.59 | $4.20 | $7.50 | |
Medcost
| Facility | $2.64 | $4.63 | $6.55 | |
Medcost
| Professional | $6.88 | $6.88 | $6.88 | |
United
| Professional | $2.54 | $3.62 | $6.00 | |
Wellcare
| Facility | $80.00 | $80.00 | $100.00 |