| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.41 | $1,007.15 | $7,439.00 | |
Cigna
| Facility | $495.36 | $727.74 | $1,372.88 | |
Medcost
| Facility | $201.41 | $749.60 | $1,039.19 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $55.00 | $1,613.22 | $1,613.22 |