| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.71 | $928.46 | $7,278.00 | |
Cigna
| Facility | $453.24 | $842.52 | $1,675.01 | |
Medcost
| Facility | $160.71 | $279.58 | $761.12 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $1,113.54 | $1,113.54 | $16,394.00 |