| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.79 | $4,503.75 | $12,964.11 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $140.19 | $195.59 | $258.45 | |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $354.87 | $688.09 |