| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $760.00 | $760.00 | $2,143.92 | |
Aetna
| Professional | $665.00 | $760.00 | $760.00 | |
Cigna
| Facility | $721.86 | $1,763.09 | $2,493.63 | |
Cigna
| Professional | $760.00 | $1,091.56 | $1,364.45 | |
Medcost
| Facility | $570.00 | $760.00 | $950.00 | |
Medcost
| Professional | $617.50 | $950.00 | $950.00 | |
United
| Professional | $475.00 | $475.00 | $950.00 | |
Wellcare
| Facility | $1,653.00 | $4,512.50 | $4,512.50 |