| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.05 | $1,245.00 | $6,953.60 | |
Cigna
| Facility | $191.90 | $887.89 | $1,675.01 | |
Medcost
| Facility | $165.05 | $248.40 | $292.95 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $55.00 | $1,099.98 | $4,901.45 |