| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $641.00 | $643.00 | $2,580.00 | |
Cigna
| Facility | $755.00 | $1,750.00 | $2,785.00 | |
United
| Facility | $333.00 | $1,114.00 | $2,012.00 | |
Wellcare
| Facility | $5,034.00 | $10,000.00 | $10,000.00 |