| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.35 | $82.86 | $82.86 | |
Cigna
| Facility | $74.67 | $74.67 | $80.59 | |
Cigna
| Professional | $63.47 | $74.67 | $128.25 | |
Medcost
| Facility | $40.13 | $82.86 | $105.00 | |
Medcost
| Professional | $90.00 | $90.00 | $90.00 | |
United
| Professional | $40.13 | $62.88 | $99.42 | |
Wellcare
| Facility | $100.00 | $535.95 | $535.95 |