| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $1,513.56 | $1,513.56 | $2,187.76 | |
Medcost
| Facility | $1,348.96 | $1,659.59 | $3,090.30 | |
Wellcare
| Facility | $56.23 | $4,365.16 | $4,570.88 | |
Wellcare
| Professional | $7,079.46 | $7,079.46 | $7,079.46 |