| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.62 | $4,086.00 | $5,190.64 | |
Cigna
| Facility | $323.44 | $887.89 | $1,675.01 | |
Medcost
| Facility | $143.06 | $880.84 | $1,634.30 | |
United
| Facility | $393.00 | $650.00 | $4,824.00 | |
Wellcare
| Facility | $55.00 | $1,403.98 | $1,403.98 |