| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.51 | $58.21 | $1,615.00 | |
Cigna
| Facility | $395.75 | $395.75 | $820.28 | |
Medcost
| Facility | $58.21 | $119.09 | $247.05 | |
United
| Facility | $554.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $2,366.16 | $2,710.90 |