| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.20 | $52.05 | $52.05 | |
Cigna
| Facility | $46.18 | $46.18 | $53.30 | |
Cigna
| Professional | $39.45 | $46.18 | $80.25 | |
Medcost
| Facility | $30.55 | $52.05 | $76.33 | |
Medcost
| Professional | $80.59 | $80.59 | $80.59 | |
United
| Professional | $29.93 | $42.84 | $70.90 | |
Wellcare
| Facility | $100.00 | $331.44 | $331.44 |