| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.60 | $320.08 | $320.08 | |
Cigna
| Facility | $229.50 | $229.50 | $229.50 | |
Cigna
| Professional | $229.50 | $229.50 | $562.50 | |
Medcost
| Facility | $168.32 | $320.08 | $440.03 | |
Medcost
| Professional | $377.00 | $377.00 | $377.00 | |
United
| Professional | $168.31 | $239.44 | $436.07 | |
Wellcare
| Facility | $462.12 | $2,323.32 | $2,323.32 |