| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $427.19 | $5,611.88 | $8,413.00 | |
Cigna
| Facility | $515.00 | $3,893.09 | $7,344.29 | |
Medcost
| Facility | $427.19 | $4,294.10 | $6,811.03 | |
United
| Facility | $1,717.00 | $2,500.00 | $18,665.00 | |
Wellcare
| Facility | $55.00 | $7,279.17 | $7,279.17 |