| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $312.36 | $689.00 | $7,362.00 | |
Cigna
| Facility | $221.28 | $221.28 | $606.10 | |
Medcost
| Facility | $312.36 | $408.55 | $549.25 | |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $1,806.85 | $1,806.85 |