| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.69 | $15.88 | $15.88 | |
Cigna
| Facility | $14.57 | $14.57 | $15.73 | |
Cigna
| Professional | $12.66 | $14.57 | $25.88 | |
Medcost
| Facility | $8.26 | $15.88 | $20.77 | |
Medcost
| Professional | $21.81 | $21.81 | $21.81 | |
United
| Professional | $8.34 | $12.05 | $21.64 | |
Wellcare
| Facility | $80.00 | $105.40 | $105.40 |