| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.31 | $37.22 | $37.22 | |
Cigna
| Facility | $33.36 | $33.36 | $40.43 | |
Cigna
| Professional | $28.45 | $33.36 | $58.50 | |
Medcost
| Facility | $21.64 | $37.22 | $53.58 | |
Medcost
| Professional | $56.57 | $56.57 | $56.57 | |
United
| Professional | $21.61 | $31.05 | $58.91 | |
Wellcare
| Facility | $80.00 | $239.48 | $239.48 |