| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $3,410.46 | $10,924.00 | |
Cigna
| Facility | $0.71 | $518.28 | $35,600.00 | |
Medcost
| Facility | $2,080.89 | $2,655.09 | $3,762.91 | |
United
| Facility | $301.00 | $661.00 | $4,877.00 | |
Wellcare
| Facility | $2,800.00 | $15,546.80 | $19,084.32 |