| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.95 | $396.24 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $248.95 | $335.00 | $593.77 | |
United
| Facility | $806.00 | $3,994.00 | $6,543.00 | |
Wellcare
| Facility | $3,376.38 | $4,018.70 | $5,000.00 |