| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $2,344.23 | $8,709.64 | |
Cigna
| Facility | $323.59 | $645.65 | $1,071.52 | |
Medcost
| Facility | $154.88 | $398.11 | $3,981.07 | |
United
| Facility | $398.11 | $1,778.28 | $5,888.44 | |
Wellcare
| Facility | $56.23 | $6,606.93 | $6,606.93 |