| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.26 | $1,181.00 | $7,278.00 | |
Cigna
| Facility | $218.88 | $887.89 | $1,675.01 | |
Medcost
| Facility | $188.26 | $271.94 | $335.04 | |
United
| Facility | $400.00 | $1,233.00 | $4,877.00 | |
Wellcare
| Facility | $55.00 | $1,073.33 | $4,901.45 |