| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $357.00 | $901.00 | $7,439.00 | |
Cigna
| Facility | $530.04 | $530.04 | $6,025.59 | |
Medcost
| Facility | $357.00 | $494.88 | $934.00 | |
United
| Facility | $2,248.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,342.00 | $17,381.18 | $19,913.50 |