| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $771.56 | $10,034.00 | $14,492.17 | |
Cigna
| Facility | $748.70 | $748.70 | $7,989.18 | |
Medcost
| Facility | $771.56 | $1,181.73 | $1,743.73 | |
United
| Facility | $4,015.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $2,984.04 | $26,402.80 | $26,542.00 |