| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $43.55 | $59.20 | $59.20 | |
Cigna
| Facility | $54.52 | $54.52 | $55.90 | |
Cigna
| Professional | $46.34 | $54.52 | $96.38 | |
Medcost
| Facility | $30.71 | $59.20 | $80.30 | |
Medcost
| Professional | $69.00 | $69.00 | $69.00 | |
United
| Professional | $30.72 | $44.30 | $76.09 | |
Wellcare
| Facility | $125.40 | $394.68 | $394.68 |