| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.00 | $28.00 | $50.90 | |
Cigna
| Professional | $1.12 | $1.12 | $1.41 | |
Medcost
| Facility | $2.31 | $2.31 | $2.31 | |
Medcost
| Professional | $2.31 | $2.31 | $2.31 | |
United
| Professional | $0.31 | $0.68 | $0.88 | |
Wellcare
| Facility | $85.00 | $100.00 | $100.00 |