| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $811.48 | $811.48 | $1,103.45 | |
Aetna
| Professional | $251.69 | $499.80 | $499.80 | |
Cigna
| Facility | $382.51 | $934.53 | $1,321.99 | |
Cigna
| Professional | $402.72 | $525.00 | $656.25 | |
Medcost
| Facility | $251.70 | $402.72 | $503.40 | |
Medcost
| Professional | $151.71 | $503.40 | $503.40 | |
United
| Professional | $226.53 | $251.70 | $503.40 | |
Wellcare
| Facility | $979.90 | $2,391.15 | $2,391.15 |