| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.72 | $708.75 | $5,449.00 | |
Cigna
| Facility | $228.18 | $515.00 | $606.10 | |
Medcost
| Facility | $131.72 | $499.76 | $689.25 | |
United
| Facility | $54.00 | $120.00 | $1,251.00 | |
Wellcare
| Facility | $55.00 | $881.91 | $881.91 |