| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $446.68 | $446.68 | $645.65 | |
Medcost
| Facility | $467.74 | $549.54 | $1,023.29 | |
Wellcare
| Facility | $56.23 | $5,011.87 | $5,011.87 | |
Wellcare
| Professional | $1,737.80 | $4,168.69 | $4,168.69 |