| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.29 | $903.00 | $7,362.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $63.29 | $87.85 | $114.33 | |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $159.16 | $307.75 |