| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.18 | $234.42 | $467.74 | |
Cigna
| Facility | $245.47 | $245.47 | $245.47 | |
Medcost
| Professional | $218.78 | $218.78 | $218.78 | |
Medcost
| Facility | $151.36 | $229.09 | $346.74 | |
Wellcare
| Facility | $1,023.29 | $1,023.29 | $1,023.29 |