| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $416.87 | $537.03 | $537.03 | |
Cigna
| Facility | $645.65 | $645.65 | $645.65 | |
Cigna
| Professional | $467.74 | $645.65 | $1,122.02 | |
Medcost
| Facility | $524.81 | $549.54 | $758.58 | |
United
| Facility | $34.67 | $269.15 | $524.81 | |
United
| Professional | $269.15 | $380.19 | $616.60 | |
Wellcare
| Facility | $1,202.26 | $3,715.35 | $3,715.35 |