| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $302.25 | $305.73 | $504.68 |
Cigna
| Facility | 26 | $343.68 | $343.68 | $343.68 |
Medcost
| Facility | 26 | $336.81 | $506.61 | $532.00 |
Wellcare
| Facility | 26 | $2,208.08 | $2,691.76 | $2,691.76 |