| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.19 | $45.23 | $45.23 | |
Cigna
| Facility | $39.01 | $39.01 | $48.10 | |
Cigna
| Professional | $34.25 | $39.01 | $67.50 | |
Medcost
| Facility | $26.86 | $45.23 | $66.87 | |
Medcost
| Professional | $70.20 | $70.20 | $70.20 | |
United
| Professional | $24.64 | $37.58 | $61.22 | |
Wellcare
| Facility | $89.75 | $280.00 | $280.00 |