| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,615.00 | $2,341.50 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $2,341.50 | $2,959.08 | $4,769.70 | |
United
| Facility | $806.00 | $3,994.00 | $6,543.00 | |
Wellcare
| Facility | $5,000.00 | $38,244.08 | $38,244.08 |