| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $901.60 | $7,602.80 | $9,827.23 | |
Aetna
| Professional | $3,785.51 | $7,500.00 | $16,190.11 | |
Cigna
| Professional | $3,467.91 | $3,467.91 | $3,467.91 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |