| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.89 | $1,338.00 | $8,413.00 | |
Cigna
| Facility | $606.10 | $606.10 | $2,710.28 | |
Medcost
| Facility | $427.89 | $609.77 | $1,136.00 | |
United
| Facility | $2,248.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,661.12 | $8,957.00 | $26,542.00 |