| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $58.17 | $81.63 | $81.63 | |
Cigna
| Facility | $73.04 | $73.04 | $80.59 | |
Cigna
| Professional | $62.08 | $73.04 | $132.38 | |
Medcost
| Facility | $39.03 | $81.63 | $100.34 | |
Medcost
| Professional | $100.34 | $100.34 | $100.34 | |
United
| Facility | $5.04 | $40.29 | $77.41 | |
United
| Professional | $39.38 | $61.18 | $109.00 | |
Wellcare
| Facility | $125.32 | $523.65 | $523.65 |