| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.14 | $70.00 | $585.00 | |
Aetna
| Professional | $23.15 | $23.15 | $84.75 | |
Cigna
| Facility | $99.00 | $99.00 | $109.00 | |
Cigna
| Professional | $50.59 | $50.59 | $87.66 | |
Medcost
| Facility | $23.15 | $23.15 | $34.03 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |