| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.33 | $700.00 | $4,200.00 | |
Cigna
| Professional | $16.36 | $99.90 | $114.44 | |
Medcost
| Facility | $29.81 | $54.00 | $54.00 | |
Wellcare
| Professional | $10,994.50 | $10,994.50 | $10,994.50 |