| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.17 | $7,439.00 | $11,993.95 | |
Cigna
| Facility | $852.10 | $852.10 | $6,025.59 | |
Medcost
| Facility | $515.17 | $668.48 | $981.67 | |
United
| Facility | $1,661.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,467.45 | $19,913.50 | $26,542.00 |