| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.51 | $53.19 | $53.19 | |
Cigna
| Facility | $48.02 | $48.02 | $54.60 | |
Cigna
| Professional | $40.85 | $48.02 | $82.13 | |
Medcost
| Facility | $30.32 | $53.19 | $76.18 | |
Medcost
| Professional | $79.98 | $79.98 | $79.98 | |
United
| Professional | $30.02 | $43.48 | $72.45 | |
Wellcare
| Facility | $110.46 | $344.64 | $344.64 |