| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.99 | $38.04 | $38.04 | |
Cigna
| Facility | $35.11 | $35.11 | $36.72 | |
Cigna
| Professional | $30.37 | $35.11 | $61.88 | |
Medcost
| Facility | $19.71 | $38.04 | $49.50 | |
Medcost
| Professional | $51.98 | $51.98 | $51.98 | |
United
| Professional | $20.74 | $28.55 | $51.84 | |
Wellcare
| Facility | $80.75 | $252.99 | $252.99 |