| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $251.19 | $933.25 | $7,585.78 | |
Cigna
| Facility | $239.88 | $512.86 | $812.83 | |
Medcost
| Facility | $138.04 | $354.81 | $831.76 | |
United
| Facility | $77.62 | $501.19 | $1,348.96 | |
Wellcare
| Facility | $56.23 | $2,187.76 | $2,187.76 |