| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $6,932.50 | $6,932.50 | $6,932.50 | |
Cigna
| Professional | $11,352.90 | $11,352.90 | $11,352.90 | |
Medcost
| Facility | $6,932.50 | $6,932.50 | $7,833.73 | |
Wellcare
| Facility | $80.00 | $100.00 | $100.00 |