| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $7.00 | $11.00 | $37.50 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Medcost
| Facility | $4.40 | $16.04 | $22.00 | |
Medcost
| Professional | $17.00 | $17.00 | $17.00 | |
Wellcare
| Facility | $90.00 | $100.00 | $100.00 |