| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.77 | $35.02 | $35.02 | |
Cigna
| Facility | $32.57 | $32.79 | $32.79 | |
Cigna
| Professional | $28.61 | $32.79 | $58.13 | |
Medcost
| Facility | $17.03 | $35.02 | $42.79 | |
Medcost
| Professional | $44.93 | $44.93 | $44.93 | |
United
| Professional | $19.09 | $25.62 | $46.80 | |
Wellcare
| Facility | $80.00 | $238.26 | $238.26 |