| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.38 | $329.76 | $5,449.00 | |
Cigna
| Facility | $606.10 | $606.10 | $820.28 | |
Medcost
| Facility | $109.38 | $259.80 | $318.92 | |
United
| Facility | $554.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $530.91 | $530.91 |