| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $817.90 | $4,608.52 | $10,034.00 | |
Cigna
| Facility | $748.70 | $748.70 | $2,710.28 | |
Medcost
| Facility | $817.90 | $1,093.00 | $1,638.55 | |
United
| Facility | $2,248.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $3,165.80 | $8,957.00 | $26,542.00 |