| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.58 | $1,189.35 | $7,278.00 | |
Cigna
| Facility | $356.30 | $356.30 | $356.30 | |
Medcost
| Facility | $205.58 | $864.63 | $1,450.92 | |
United
| Facility | $1,393.00 | $9,447.00 | $14,257.00 | |
Wellcare
| Facility | $55.00 | $1,493.88 | $1,493.88 |