| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $306.02 | $689.00 | $5,449.00 | |
Cigna
| Facility | $395.75 | $395.75 | $820.28 | |
Medcost
| Facility | $312.14 | $744.90 | $1,152.13 | |
United
| Facility | $554.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $1,862.95 | $1,862.95 | $12,000.00 |