| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.49 | $18.89 | $18.89 | |
Cigna
| Facility | $17.30 | $17.30 | $18.32 | |
Cigna
| Professional | $14.71 | $17.30 | $38.44 | |
Medcost
| Facility | $8.39 | $18.89 | $22.67 | |
Medcost
| Professional | $22.11 | $22.11 | $22.11 | |
United
| Professional | $8.50 | $13.82 | $22.00 | |
Wellcare
| Facility | $80.00 | $124.16 | $124.16 |