| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $588.84 | $1,023.29 | $1,148.15 | |
Cigna
| Facility | $616.60 | $616.60 | $35,481.34 | |
Medcost
| Professional | $501.19 | $501.19 | $741.31 | |
Medcost
| Facility | $338.84 | $467.74 | $758.58 | |
Wellcare
| Facility | $2,454.71 | $2,454.71 | $2,454.71 |