| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.25 | $558.01 | $7,278.00 | |
Cigna
| Facility | $207.63 | $207.63 | $207.63 | |
Medcost
| Facility | $133.11 | $442.75 | $992.69 | |
United
| Facility | $116.00 | $874.00 | $2,074.00 | |
Wellcare
| Facility | $55.00 | $989.72 | $989.72 |