| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.54 | $351.44 | $7,278.00 | |
Cigna
| Facility | $606.10 | $606.10 | $606.10 | |
Medcost
| Facility | $76.54 | $285.81 | $421.73 | |
United
| Facility | $117.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $55.00 | $611.11 | $611.11 |