| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.46 | $2,588.50 | $4,841.95 | |
Cigna
| Facility | $323.44 | $530.00 | $975.74 | |
Medcost
| Facility | $54.78 | $92.72 | $252.20 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $328.10 | $328.10 | $12,000.00 |