| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.50 | $4,344.60 | $7,278.00 | |
Cigna
| Facility | $453.24 | $842.52 | $1,675.01 | |
Medcost
| Facility | $233.50 | $331.18 | $586.75 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $1,302.06 | $4,901.45 | $16,394.00 |