| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.89 | $1,755.13 | $8,442.00 | |
Cigna
| Facility | $748.70 | $748.70 | $748.70 | |
Medcost
| Facility | $262.89 | $381.48 | $574.66 | |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $673.11 | $2,390.34 | $26,542.00 |