| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.50 | $1,351.83 | $7,278.00 | |
Cigna
| Facility | $530.04 | $530.04 | $2,710.28 | |
Medcost
| Facility | $664.29 | $833.36 | $1,265.20 | |
United
| Facility | $900.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $2,614.40 | $8,957.00 | $16,394.00 |