| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $32.97 | $46.47 | $46.47 | |
Cigna
| Facility | $42.67 | $42.67 | $42.90 | |
Cigna
| Professional | $36.27 | $42.67 | $70.13 | |
Medcost
| Facility | $26.47 | $46.47 | $66.51 | |
Medcost
| Professional | $69.84 | $69.84 | $69.84 | |
United
| Professional | $26.69 | $36.58 | $63.31 | |
Wellcare
| Facility | $98.03 | $305.83 | $305.83 |