| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.37 | $2,344.34 | $5,449.00 | |
Cigna
| Facility | $323.44 | $650.35 | $1,226.89 | |
Medcost
| Facility | $156.37 | $452.76 | $3,216.32 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $55.00 | $3,911.31 | $3,911.31 |