| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.52 | $3,860.77 | $21,288.15 | |
Cigna
| Facility | $530.04 | $530.04 | $33,763.06 | |
Medcost
| Facility | $159.30 | $284.38 | $566.46 | |
United
| Facility | $16,216.00 | $28,743.00 | $59,455.00 | |
Wellcare
| Facility | $2,016.24 | $2,016.24 | $22,000.00 |