| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.22 | $897.00 | $4,176.77 | |
BCBS
| Facility | $404.99 | $445.48 | $755.97 | |
Cigna
| Facility | $323.44 | $585.73 | $975.74 | |
Medcost
| Facility | $93.51 | $495.26 | $619.08 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $55.00 | $859.46 | $859.46 |