| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $734.06 | $6,621.55 | $10,924.00 | |
Cigna
| Facility | $748.70 | $748.70 | $2,710.28 | |
Medcost
| Facility | $582.28 | $700.24 | $1,090.86 | |
United
| Facility | $1,661.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,256.32 | $8,957.00 | $26,542.00 |