| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.15 | $313.89 | $313.89 | |
Cigna
| Facility | $277.51 | $277.51 | $322.39 | |
Cigna
| Professional | $277.51 | $277.51 | $492.00 | |
Medcost
| Facility | $181.66 | $313.89 | $474.94 | |
Medcost
| Professional | $474.94 | $474.94 | $474.94 | |
United
| Professional | $179.98 | $259.02 | $427.59 | |
Wellcare
| Facility | $498.87 | $1,990.31 | $1,990.31 |