| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $10.91 | $15.02 | $15.02 | |
Cigna
| Facility | $13.81 | $13.81 | $15.47 | |
Cigna
| Professional | $11.78 | $13.81 | $23.63 | |
Medcost
| Facility | $8.16 | $15.02 | $20.50 | |
Medcost
| Professional | $21.53 | $21.53 | $21.53 | |
United
| Professional | $8.24 | $12.31 | $20.50 | |
Wellcare
| Facility | $80.00 | $99.12 | $99.12 |