| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $572.76 | $4,376.00 | $6,915.00 | |
Cigna
| Facility | $453.24 | $4,416.18 | $8,331.12 | |
Medcost
| Facility | $382.55 | $497.32 | $754.77 | |
United
| Facility | $773.00 | $1,208.00 | $9,324.00 | |
Wellcare
| Facility | $2,122.73 | $16,394.00 | $24,378.75 |