| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $426.58 | $1,023.29 | |
Aetna
| Professional | $346.74 | $346.74 | $346.74 | |
Cigna
| Professional | $6.92 | $6.92 | $6.92 | |
Medcost
| Facility | $0.52 | $0.52 | $1.15 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |