| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $146.44 | $398.25 | $398.25 | |
Cigna
| Professional | $22.79 | $85.75 | $117.60 | |
Medcost
| Facility | $21.00 | $21.00 | $86.84 | |
Wellcare
| Professional | $1,238.33 | $1,238.33 | $1,238.33 |