| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $813.17 | $1,619.44 | $1,619.44 | |
Cigna
| Facility | $0.71 | $635.70 | $35,600.00 | |
Medcost
| Facility | $476.16 | $614.23 | $870.17 | |
Wellcare
| Facility | $1,045.84 | $2,710.30 | $2,710.30 |