| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $223.50 | $2,994.40 | $6,915.00 | |
Cigna
| Facility | $453.24 | $585.73 | $975.74 | |
Medcost
| Facility | $134.11 | $376.02 | $606.05 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $934.14 | $934.14 | $16,394.00 |