| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.45 | $445.82 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $284.45 | $389.52 | $548.08 | |
Medcost
| Facility | AS | $51.57 | $72.09 | $90.00 |
United
| Facility | $806.00 | $3,994.00 | $6,543.00 | |
Wellcare
| Facility | $3,826.76 | $4,561.06 | $5,000.00 | |
Wellcare
| Facility | AS | $40.09 | $69.92 | $138.26 |