| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.23 | $1.23 | $1.66 | |
Aetna
| Professional | $1.19 | $1.23 | $1.32 | |
Cigna
| Facility | $1.23 | $1.23 | $1.23 | |
Cigna
| Professional | $1.23 | $1.23 | $1.23 | |
Medcost
| Facility | $1.23 | $1.23 | $1.39 | |
Medcost
| Professional | $0.62 | $0.62 | $0.62 | |
United
| Professional | $0.08 | $0.17 | $0.22 | |
Wellcare
| Facility | $95.00 | $100.00 | $100.00 |