| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.53 | $271.69 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $172.53 | $229.00 | $371.52 | |
Medcost
| Facility | AS | $31.73 | $32.06 | $56.68 |
United
| Facility | $983.00 | $3,828.00 | $6,331.00 | |
Wellcare
| Facility | $2,271.78 | $2,733.36 | $5,000.00 | |
Wellcare
| Facility | AS | $24.05 | $42.42 | $82.94 |