| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.02 | $546.54 | $1,373.86 | |
Aetna
| Professional | $226.22 | $226.22 | $478.46 | |
Cigna
| Facility | $801.75 | $801.75 | $801.75 | |
Cigna
| Professional | $348.00 | $348.00 | $348.00 | |
Medcost
| Facility | $226.22 | $226.22 | $328.02 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |