| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $31.42 | $42.70 | $42.70 | |
Cigna
| Facility | $37.70 | $39.90 | $39.90 | |
Cigna
| Professional | $33.92 | $39.90 | $70.88 | |
Medcost
| Facility | $21.13 | $42.70 | $55.24 | |
Medcost
| Professional | $47.00 | $47.00 | $47.00 | |
United
| Professional | $21.13 | $31.34 | $57.52 | |
Wellcare
| Facility | $91.77 | $289.66 | $289.66 |