| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $245.47 | $707.95 | $8,709.64 | |
Cigna
| Facility | $257.04 | $257.04 | $257.04 | |
Medcost
| Facility | $147.91 | $426.58 | $1,071.52 | |
United
| Facility | $549.54 | $2,089.30 | $4,073.80 | |
Wellcare
| Facility | $56.23 | $2,884.03 | $2,884.03 |