| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,148.83 | $2,601.92 | $11,124.00 | |
Cigna
| Facility | $515.00 | $5,030.53 | $9,490.07 | |
Medcost
| Facility | $1,104.78 | $1,579.19 | $1,953.01 | |
United
| Facility | $1,746.00 | $6,492.00 | $18,665.00 | |
Wellcare
| Facility | $55.00 | $7,639.45 | $27,770.10 |