| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $89.13 | $117.49 | $117.49 | |
Cigna
| Facility | $112.20 | $112.20 | $125.89 | |
Cigna
| Professional | $95.50 | $112.20 | $245.47 | |
Medcost
| Professional | $97.72 | $104.71 | $104.71 | |
Medcost
| Facility | $60.26 | $117.49 | $177.83 | |
United
| Facility | $7.76 | $60.26 | $120.23 | |
United
| Professional | $61.66 | $93.33 | $151.36 | |
Wellcare
| Facility | $257.04 | $776.25 | $776.25 |