| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $3,890.45 | $6,760.83 | |
Cigna
| Facility | $457.09 | $707.95 | $1,479.11 | |
Medcost
| Professional | $251.19 | $251.19 | $251.19 | |
Medcost
| Facility | $141.25 | $190.55 | $323.59 | |
United
| Facility | $398.11 | $1,778.28 | $5,888.44 | |
Wellcare
| Facility | $4,897.79 | $4,897.79 | $28,840.32 |