| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $706.20 | $5,842.46 | $7,993.00 | |
Cigna
| Facility | $606.10 | $606.10 | $1,215.60 | |
Medcost
| Facility | $506.49 | $663.36 | $1,144.67 | |
United
| Facility | $900.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $1,964.52 | $4,017.35 | $26,542.00 |