| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.24 | $903.00 | $5,449.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $724.91 | $996.00 | $1,552.64 | |
United
| Facility | $900.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $55.00 | $4,179.20 | $4,179.20 |