| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $894.48 | $4,148.00 | $7,593.00 | |
Cigna
| Facility | $453.24 | $887.89 | $1,675.01 | |
Medcost
| Facility | $256.77 | $550.55 | $669.76 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $1,425.36 | $4,901.45 | $16,394.00 |