| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $230.69 | $3,762.00 | $5,937.88 | |
Cigna
| Facility | $192.61 | $887.89 | $1,675.01 | |
Medcost
| Facility | $165.37 | $208.36 | $282.77 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $55.00 | $1,097.25 | $4,901.45 |