| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.92 | $40.65 | $40.65 | |
Cigna
| Facility | $37.90 | $37.90 | $41.73 | |
Cigna
| Professional | $32.22 | $37.90 | $67.13 | |
Medcost
| Facility | $20.05 | $40.65 | $50.39 | |
Medcost
| Professional | $52.91 | $52.91 | $52.91 | |
United
| Professional | $20.23 | $29.92 | $50.39 | |
Wellcare
| Facility | $87.18 | $275.26 | $275.26 |