| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $691.83 | $2,238.72 | $8,709.64 | |
Cigna
| Facility | $489.78 | $1,819.70 | $3,090.30 | |
Medcost
| Facility | $398.11 | $501.19 | $851.14 | |
United
| Facility | $912.01 | $3,890.45 | $9,549.93 | |
Wellcare
| Facility | $56.23 | $10,715.19 | $10,715.19 |