| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.42 | $64.01 | $64.01 | |
Cigna
| Facility | $55.97 | $55.97 | $73.45 | |
Cigna
| Professional | $48.97 | $55.97 | $100.50 | |
Medcost
| Facility | $37.13 | $64.01 | $97.06 | |
Medcost
| Professional | $83.00 | $83.00 | $83.00 | |
United
| Professional | $37.09 | $52.32 | $91.98 | |
Wellcare
| Facility | $153.33 | $401.40 | $401.40 |