| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.38 | $15.97 | $33.97 | |
Cigna
| Professional | $8.96 | $8.96 | $8.96 | |
Medcost
| Facility | $13.00 | $16.60 | $20.00 | |
Medcost
| Professional | $19.84 | $19.84 | $19.84 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |