| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,155.61 | $1,828.56 | $8,413.00 | |
Cigna
| Facility | $606.10 | $606.10 | $25,495.12 | |
Medcost
| Facility | $1,155.61 | $1,337.88 | $2,078.38 | |
United
| Facility | $2,248.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $73,542.24 | $84,256.80 |