| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $7,968.00 | $28,748.00 | |
Aetna
| Professional | $50.90 | $1,615.00 | $28,748.00 | |
Cigna
| Facility | $16,023.00 | $24,040.00 | $31,898.00 | |
United
| Facility | $361.00 | $964.00 | $33,236.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |