| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.32 | $3,299.50 | $8,413.00 | |
Cigna
| Facility | $505.65 | $3,652.64 | $6,890.69 | |
Medcost
| Facility | $452.06 | $666.43 | $798.35 | |
United
| Facility | $773.00 | $1,224.00 | $9,324.00 | |
Wellcare
| Facility | $55.00 | $2,923.48 | $20,163.75 |