| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $656.88 | $1,038.40 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $656.88 | $952.47 | $1,420.00 | |
United
| Facility | $8,153.00 | $21,463.00 | $29,047.00 | |
Wellcare
| Facility | $55.00 | $4,562.28 | $4,562.28 |