| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.82 | $46.60 | $46.60 | |
Cigna
| Facility | $41.60 | $44.42 | $44.42 | |
Cigna
| Professional | $37.76 | $44.42 | $77.63 | |
Medcost
| Facility | $22.74 | $46.60 | $59.45 | |
Medcost
| Professional | $51.00 | $51.00 | $51.00 | |
United
| Professional | $22.74 | $33.72 | $56.34 | |
Wellcare
| Facility | $100.00 | $317.54 | $317.54 |