| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.32 | $138.13 | $186.36 | |
Aetna
| Professional | $134.88 | $138.13 | $138.13 | |
Cigna
| Facility | $137.80 | $137.80 | $137.80 | |
Cigna
| Professional | $137.80 | $137.80 | $162.50 | |
Medcost
| Facility | $138.13 | $146.41 | $196.63 | |
Medcost
| Professional | $132.91 | $132.91 | $132.91 | |
United
| Professional | $332.96 | $332.96 | $432.85 | |
Wellcare
| Facility | $211.41 | $220.48 | $603.58 |