| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.43 | $642.91 | $3,528.69 | |
Cigna
| Facility | $0.71 | $515.00 | $35,600.00 | |
Medcost
| Facility | $410.43 | $526.04 | $774.64 | |
United
| Facility | $773.00 | $1,208.00 | $9,324.00 | |
Wellcare
| Facility | $55.00 | $2,338.38 | $2,897.22 |