| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $794.33 | $1,148.15 | $5,888.44 | |
Medcost
| Facility | $794.33 | $1,995.26 | $6,760.83 | |
Wellcare
| Facility | $56.23 | $10,232.93 | $10,232.93 | |
Wellcare
| Professional | $17,782.79 | $17,782.79 | $17,782.79 |