| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $512.86 | $512.86 | $741.31 | |
Medcost
| Facility | $512.86 | $616.60 | $1,348.96 | |
Wellcare
| Facility | $56.23 | $1,445.44 | $1,445.44 | |
Wellcare
| Professional | $5,495.41 | $5,495.41 | $5,495.41 |