| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $241.60 | $403.06 | $403.06 | |
Cigna
| Facility | $354.55 | $354.55 | $403.00 | |
Cigna
| Professional | $301.37 | $354.55 | $617.63 | |
Medcost
| Facility | $230.84 | $403.06 | $575.09 | |
Medcost
| Professional | $575.09 | $575.09 | $575.09 | |
United
| Professional | $230.61 | $325.52 | $549.05 | |
Wellcare
| Facility | $633.83 | $2,544.80 | $2,544.80 |