| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.98 | $25.12 | $25.12 | |
Cigna
| Facility | $22.91 | $22.91 | $23.99 | |
Cigna
| Professional | $19.50 | $22.91 | $51.29 | |
Medcost
| Professional | $18.62 | $19.95 | $19.95 | |
Medcost
| Facility | $11.48 | $25.12 | $33.88 | |
United
| Facility | $1.41 | $11.75 | $20.89 | |
United
| Professional | $11.75 | $18.20 | $29.51 | |
Wellcare
| Facility | $162.18 | $162.18 | $162.18 |