| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.07 | $179.06 | $5,449.00 | |
Cigna
| Facility | $151.88 | $221.50 | $395.75 | |
Medcost
| Facility | $102.07 | $156.47 | $219.72 | |
United
| Facility | $54.00 | $120.00 | $1,251.00 | |
Wellcare
| Facility | $491.77 | $491.77 | $12,000.00 |