| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.31 | $40.56 | $40.56 | |
Cigna
| Facility | $37.64 | $37.64 | $37.70 | |
Cigna
| Professional | $31.99 | $37.64 | $66.75 | |
Medcost
| Facility | $20.53 | $40.56 | $53.67 | |
Medcost
| Professional | $46.00 | $46.00 | $46.00 | |
United
| Professional | $20.53 | $30.04 | $50.85 | |
Wellcare
| Facility | $86.57 | $272.89 | $272.89 |