| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $657.73 | $4,376.00 | $5,790.06 | |
Cigna
| Facility | $498.00 | $1,362.98 | $2,709.73 | |
Medcost
| Facility | $348.00 | $489.15 | $766.46 | |
United
| Facility | $773.00 | $1,208.00 | $9,324.00 | |
Wellcare
| Facility | $2,468.21 | $7,929.30 | $16,394.00 |