| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $3,019.95 | $7,244.36 | |
Cigna
| Facility | $389.05 | $891.25 | $1,659.59 | |
Medcost
| Facility | $208.93 | $269.15 | $446.68 | |
United
| Facility | $398.11 | $1,778.28 | $5,888.44 | |
Wellcare
| Facility | $56.23 | $4,897.79 | $4,897.79 |