| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $72.44 | $173.78 | $354.81 | |
Medcost
| Professional | $128.82 | $128.82 | $131.83 | |
Wellcare
| Facility | $676.08 | $676.08 | $676.08 | |
Wellcare
| Professional | $416.87 | $416.87 | $416.87 |