| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.83 | $689.00 | $7,362.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $235.83 | $335.66 | $443.56 | |
Medcost
| Facility | AS | $45.89 | $46.99 | $77.86 |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $3,764.32 | $3,764.32 | |
Wellcare
| Facility | AS | $33.09 | $57.75 | $114.09 |