| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $84.50 | $117.25 | $117.25 | |
Cigna
| Facility | $111.50 | $111.50 | $125.11 | |
Cigna
| Professional | $94.78 | $111.50 | $241.88 | |
Medcost
| Facility | $59.99 | $117.25 | $150.74 | |
Medcost
| Professional | $158.28 | $158.28 | $158.28 | |
United
| Professional | $60.54 | $93.48 | $164.84 | |
Wellcare
| Facility | $166.29 | $782.12 | $782.12 |