| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $662.20 | $1,338.00 | $8,413.00 | |
Cigna
| Facility | $606.10 | $606.10 | $2,062.80 | |
Medcost
| Facility | $662.20 | $856.00 | $1,253.60 | |
United
| Facility | $1,661.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $5,950.27 | $6,817.20 |