| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.33 | $372.89 | $4,311.00 | |
Cigna
| Facility | $24.74 | $338.41 | $750.00 | |
Medcost
| Facility | $21.66 | $28.29 | $38.46 | |
United
| Facility | $54.00 | $120.00 | $1,251.00 | |
Wellcare
| Facility | $53.64 | $69.20 | $320.64 |