| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.07 | $38.49 | $38.49 | |
Cigna
| Facility | $34.40 | $34.40 | $40.95 | |
Cigna
| Professional | $29.69 | $34.40 | $61.88 | |
Medcost
| Facility | $21.71 | $38.49 | $54.25 | |
Medcost
| Professional | $57.28 | $57.28 | $57.28 | |
United
| Facility | $2.67 | $22.41 | $36.13 | |
United
| Professional | $21.32 | $30.00 | $52.43 | |
Wellcare
| Facility | $80.00 | $247.19 | $247.19 |