| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.51 | $1,000.00 | $12,022.64 | |
Cigna
| Facility | $398.11 | $398.11 | $398.11 | |
Medcost
| Professional | $138.04 | $138.04 | $257.04 | |
Medcost
| Facility | $60.26 | $100.00 | $229.09 | |
United
| Facility | $676.08 | $2,137.96 | $4,073.80 | |
Wellcare
| Facility | $56.23 | $3,467.37 | $3,467.37 |