| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.01 | $199.66 | $7,278.00 | |
Cigna
| Facility | $88.74 | $88.74 | $88.74 | |
Medcost
| Facility | $55.35 | $177.19 | $392.11 | |
United
| Facility | $116.00 | $874.00 | $2,074.00 | |
Wellcare
| Facility | $55.00 | $244.48 | $244.48 |