| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $126.75 | $126.75 | $158.44 | |
United
| Facility | $40.95 | $51.46 | $51.46 | |
Wellcare
| Facility | $165.92 | $165.92 | $199.11 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $126.75 | $126.75 | $158.44 | |
United
| Facility | $40.95 | $51.46 | $51.46 | |
Wellcare
| Facility | $165.92 | $165.92 | $199.11 |