| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $825.00 | $1,596.00 | $2,580.00 | |
Cigna
| Facility | $875.00 | $1,220.00 | $1,620.00 | |
United
| Facility | $436.00 | $1,041.00 | $2,012.00 | |
Wellcare
| Facility | $5,034.00 | $8,000.00 | $8,000.00 |