| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.25 | $3,557.84 | $5,449.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $83.25 | $117.60 | $155.40 | |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $209.02 | $403.75 |