| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.18 | $71.83 | $71.83 | |
Cigna
| Facility | $60.80 | $60.80 | $85.80 | |
Cigna
| Professional | $53.00 | $60.80 | $105.00 | |
Medcost
| Facility | $45.05 | $71.83 | $117.78 | |
Medcost
| Professional | $101.00 | $101.00 | $101.00 | |
United
| Professional | $42.90 | $61.27 | $97.84 | |
Wellcare
| Facility | $139.76 | $436.04 | $436.04 |