| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.80 | $93.13 | $93.13 | |
Cigna
| Facility | $45.00 | $45.00 | $79.30 | |
Cigna
| Professional | $45.00 | $45.00 | $153.38 | |
Medcost
| Facility | $43.88 | $93.13 | $115.00 | |
Medcost
| Professional | $98.00 | $98.00 | $98.00 | |
United
| Professional | $43.88 | $70.59 | $119.47 | |
Wellcare
| Facility | $104.23 | $615.09 | $615.09 |