| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.56 | $5,381.00 | $6,957.00 | |
Cigna
| Facility | $1,050.00 | $1,942.00 | $3,137.00 | |
United
| Facility | $333.00 | $1,114.00 | $2,012.00 | |
Wellcare
| Facility | $5,034.00 | $10,000.00 | $10,000.00 |