| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.52 | $672.52 | $1,395.48 | |
Aetna
| Professional | $588.46 | $672.52 | $672.52 | |
Cigna
| Facility | $638.76 | $1,560.13 | $2,207.17 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
Medcost
| Facility | $504.39 | $672.52 | $840.65 | |
Medcost
| Professional | $546.41 | $840.65 | $840.65 | |
United
| Facility | $504.39 | $991.97 | $1,008.78 | |
United
| Professional | $378.29 | $420.33 | $840.65 | |
Wellcare
| Facility | $1,462.73 | $3,993.09 | $3,993.09 |