| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,096.48 | $27,542.29 | $48,977.88 | |
Cigna
| Facility | $42,657.95 | $42,657.95 | $42,657.95 | |
Medcost
| Facility | $954.99 | $1,202.26 | $2,089.30 | |
United
| Facility | $12,022.64 | $26,302.68 | $44,668.36 | |
Wellcare
| Facility | $26,915.35 | $26,915.35 | $26,915.35 |