| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.26 | $22.49 | $22.49 | |
Cigna
| Facility | $20.72 | $20.72 | $22.23 | |
Cigna
| Professional | $17.61 | $20.72 | $36.75 | |
Medcost
| Facility | $10.26 | $22.49 | $26.99 | |
Medcost
| Professional | $26.83 | $26.83 | $26.83 | |
United
| Professional | $10.49 | $16.78 | $26.56 | |
Wellcare
| Facility | $80.00 | $148.63 | $148.63 |