| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.93 | $16.22 | $16.22 | |
Cigna
| Facility | $14.63 | $15.26 | $15.26 | |
Cigna
| Professional | $12.97 | $15.26 | $27.00 | |
Medcost
| Facility | $7.84 | $16.22 | $20.51 | |
Medcost
| Professional | $18.00 | $18.00 | $18.00 | |
United
| Professional | $7.84 | $11.80 | $19.16 | |
Wellcare
| Facility | $75.00 | $109.82 | $109.82 |