| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $600.00 | $1,245.00 | |
Aetna
| Professional | $525.00 | $600.00 | $600.00 | |
Cigna
| Facility | $569.89 | $975.00 | $1,968.75 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Medcost
| Facility | $450.00 | $600.00 | $750.00 | |
Medcost
| Professional | $487.50 | $750.00 | $750.00 | |
United
| Professional | $337.50 | $375.00 | $750.00 | |
Wellcare
| Facility | $1,305.00 | $3,562.50 | $3,562.50 |