| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.68 | $5,611.88 | $10,134.00 | |
Cigna
| Facility | $515.00 | $4,232.87 | $7,985.28 | |
Medcost
| Facility | $410.68 | $4,239.05 | $6,547.38 | |
United
| Facility | $1,717.00 | $2,500.00 | $18,665.00 | |
Wellcare
| Facility | $55.00 | $2,352.00 | $2,352.00 |