| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $256.69 | $428.24 | $428.24 | |
Cigna
| Facility | $283.73 | $283.73 | $396.50 | |
Cigna
| Professional | $241.17 | $283.73 | $705.00 | |
Medcost
| Facility | $204.26 | $428.24 | $531.09 | |
Medcost
| Professional | $560.72 | $560.72 | $560.72 | |
United
| Professional | $214.47 | $315.83 | $583.90 | |
Wellcare
| Facility | $589.25 | $3,452.59 | $3,452.59 |