| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.56 | $972.17 | $972.17 | |
Cigna
| Facility | $0.71 | $382.54 | $35,600.00 | |
Medcost
| Facility | $318.48 | $382.43 | $532.98 | |
United
| Facility | $456.95 | $456.95 | $456.95 | |
Wellcare
| Facility | $635.91 | $1,642.98 | $1,642.98 |