| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.80 | $22.86 | $22.86 | |
Cigna
| Facility | $21.27 | $21.27 | $24.70 | |
Cigna
| Professional | $18.07 | $21.27 | $37.50 | |
Medcost
| Facility | $11.47 | $22.86 | $29.98 | |
Medcost
| Professional | $26.00 | $26.00 | $26.00 | |
United
| Professional | $12.61 | $16.87 | $31.14 | |
Wellcare
| Facility | $85.00 | $154.22 | $154.22 |