| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.09 | $1,615.00 | $11,124.00 | |
Cigna
| Facility | $0.71 | $518.28 | $35,600.00 | |
Medcost
| Facility | $960.09 | $1,153.78 | $1,769.88 | |
United
| Facility | $301.00 | $661.00 | $4,877.00 | |
Wellcare
| Facility | $55.00 | $7,278.32 | $8,803.28 |