| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.49 | $145.50 | $145.50 | |
Cigna
| Facility | $130.68 | $130.68 | $162.50 | |
Cigna
| Professional | $113.67 | $130.68 | $241.50 | |
Medcost
| Facility | $133.96 | $145.50 | $174.60 | |
Medcost
| Professional | $186.71 | $186.71 | $186.71 | |
United
| Professional | $71.54 | $109.47 | $185.23 | |
Wellcare
| Facility | $309.57 | $948.67 | $948.67 |