| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.25 | $55.40 | $55.40 | |
Cigna
| Facility | $48.69 | $48.69 | $59.80 | |
Cigna
| Professional | $42.18 | $48.69 | $86.63 | |
Medcost
| Facility | $32.20 | $55.40 | $80.91 | |
Medcost
| Professional | $84.96 | $84.96 | $84.96 | |
United
| Professional | $30.95 | $45.58 | $88.50 | |
Wellcare
| Facility | $112.01 | $349.46 | $349.46 |