| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $331.13 | $331.13 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $218.78 | $257.04 | $549.54 | |
Medcost
| Facility | $45.71 | $331.13 | $363.08 | |
United
| Facility | $22.91 | $158.49 | $269.15 | |
United
| Professional | $151.36 | $204.17 | $316.23 | |
Wellcare
| Facility | $354.81 | $1,819.70 | $1,819.70 |