| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.02 | $382.93 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $234.02 | $304.23 | $463.16 | |
United
| Facility | $900.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $55.00 | $3,623.65 | $4,231.75 |