| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.39 | $490.00 | $7,439.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $308.39 | $407.00 | $670.78 | |
United
| Facility | $806.00 | $3,994.00 | $6,543.00 | |
Wellcare
| Facility | $4,181.38 | $4,960.76 | $5,000.00 |