| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.27 | $2,544.26 | $10,034.00 | |
Cigna
| Facility | $748.70 | $748.70 | $2,710.28 | |
Medcost
| Facility | $590.01 | $883.58 | $1,333.76 | |
United
| Facility | $1,711.00 | $7,162.00 | $10,397.00 | |
Wellcare
| Facility | $2,293.96 | $8,957.00 | $26,542.00 |