| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $912.27 | $9,503.00 | $21,951.00 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
Cigna
| Facility | $16,023.00 | $24,040.00 | $31,898.00 | |
Medcost
| Facility | $912.27 | $967.01 | $1,550.86 | |
United
| Facility | $11,832.00 | $23,512.00 | $33,236.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |