| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.88 | $34.84 | $34.84 | |
Cigna
| Facility | $31.27 | $31.91 | $31.91 | |
Cigna
| Professional | $27.12 | $31.91 | $60.00 | |
Medcost
| Facility | $16.80 | $34.84 | $43.94 | |
Medcost
| Professional | $43.94 | $43.94 | $43.94 | |
United
| Professional | $16.80 | $26.51 | $45.76 | |
Wellcare
| Facility | $100.00 | $228.57 | $228.57 |