| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.38 | $4,057.45 | $4,311.00 | |
Cigna
| Facility | $117.56 | $117.56 | $117.56 | |
Medcost
| Facility | $101.31 | $139.00 | $201.00 | |
United
| Facility | $54.00 | $120.00 | $1,251.00 | |
Wellcare
| Facility | $55.00 | $250.95 | $1,300.00 |