| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.23 | $15.53 | $15.53 | |
Cigna
| Facility | $14.58 | $14.58 | $15.08 | |
Cigna
| Professional | $12.39 | $14.58 | $26.63 | |
Medcost
| Facility | $6.93 | $15.53 | $18.64 | |
Medcost
| Professional | $18.27 | $18.27 | $18.27 | |
United
| Professional | $8.46 | $11.54 | $19.03 | |
Wellcare
| Facility | $80.00 | $104.64 | $104.64 |