| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $865.51 | $1,350.43 | $6,953.60 | |
Cigna
| Facility | $0.71 | $518.28 | $35,600.00 | |
Medcost
| Facility | $865.51 | $1,048.46 | $1,600.27 | |
United
| Facility | $301.00 | $661.00 | $4,877.00 | |
Wellcare
| Facility | $55.00 | $6,631.20 | $8,033.12 |