| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.19 | $1,245.00 | $6,953.60 | |
Cigna
| Facility | $323.44 | $502.92 | $948.75 | |
Medcost
| Facility | $112.19 | $179.07 | $289.79 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $520.15 | $2,776.25 | $12,000.00 |