| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.03 | $528.94 | $5,449.00 | |
Cigna
| Facility | $323.44 | $842.52 | $1,675.01 | |
Medcost
| Facility | $130.03 | $251.57 | $530.22 | |
United
| Facility | $773.00 | $1,208.00 | $9,324.00 | |
Wellcare
| Facility | $906.78 | $906.78 | $12,000.00 |