| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $2,238.72 | $2,511.89 | $2,951.21 | |
Medcost
| Professional | $588.84 | $588.84 | $588.84 | |
Wellcare
| Facility | $1,698.24 | $1,698.24 | $1,698.24 | |
Wellcare
| Professional | $2,951.21 | $3,630.78 | $3,630.78 |