| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.97 | $26.71 | $26.71 | |
Cigna
| Facility | $25.90 | $25.90 | $26.98 | |
Cigna
| Professional | $22.02 | $25.90 | $45.75 | |
Medcost
| Facility | $14.46 | $26.71 | $33.29 | |
Medcost
| Professional | $32.14 | $32.14 | $32.14 | |
United
| Professional | $14.46 | $20.07 | $32.36 | |
Wellcare
| Facility | $80.51 | $185.84 | $185.84 |