| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $835.64 | $835.64 | $1,103.45 | |
Aetna
| Professional | $352.38 | $377.55 | $397.69 | |
Cigna
| Facility | $382.51 | $934.53 | $1,321.99 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
Medcost
| Facility | $302.04 | $402.72 | $503.40 | |
Medcost
| Professional | $327.20 | $503.40 | $503.40 | |
United
| Professional | $226.53 | $251.70 | $503.40 | |
Wellcare
| Facility | $875.92 | $2,391.15 | $2,391.15 |