| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $187.94 | $330.32 | $330.32 | |
Cigna
| Facility | $256.50 | $256.50 | $256.50 | |
Cigna
| Professional | $218.03 | $256.50 | $543.75 | |
Medcost
| Facility | $41.00 | $330.32 | $363.35 | |
Medcost
| Professional | $41.00 | $321.88 | $321.88 | |
United
| Professional | $159.29 | $204.53 | $346.44 | |
Wellcare
| Facility | $543.63 | $1,552.02 | $1,552.02 |