| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $345.76 | $2,016.04 | $7,278.00 | |
Cigna
| Facility | $595.50 | $595.50 | $595.50 | |
Medcost
| Facility | $345.76 | $2,217.64 | $3,992.13 | |
United
| Facility | $2,606.00 | $14,893.00 | $22,265.00 | |
Wellcare
| Facility | $55.00 | $3,516.30 | $3,516.30 |