| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.50 | $1,615.00 | $9,221.44 | |
Aetna
| Professional | $29.50 | $29.50 | $37.43 | |
Cigna
| Professional | $13.20 | $13.20 | $13.20 | |
Medcost
| Facility | $29.50 | $30.98 | $35.40 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |