| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.19 | $23.67 | $23.67 | |
Cigna
| Facility | $22.28 | $22.28 | $22.75 | |
Cigna
| Professional | $19.04 | $22.28 | $39.75 | |
Medcost
| Facility | $12.14 | $23.67 | $30.21 | |
Medcost
| Professional | $31.72 | $31.72 | $31.72 | |
United
| Professional | $12.13 | $17.96 | $28.14 | |
Wellcare
| Facility | $80.00 | $159.78 | $159.78 |