| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $738.85 | $1,615.00 | $10,561.00 | |
Cigna
| Facility | $748.70 | $748.70 | $1,438.74 | |
Medcost
| Facility | $738.85 | $1,032.44 | $1,681.00 | |
United
| Facility | $1,661.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,863.96 | $4,754.80 | $26,542.00 |