| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $316.23 | $562.34 | $794.33 | |
Aetna
| Professional | $316.23 | $316.23 | $436.52 | |
Cigna
| Professional | $52.48 | $52.48 | $52.48 | |
Medcost
| Facility | $316.23 | $346.74 | $562.34 | |
United
| Facility | $269.15 | $269.15 | $269.15 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |