| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $725.00 | $2,122.00 | $4,823.00 | |
Cigna
| Facility | $593.00 | $974.00 | $1,209.00 | |
United
| Facility | $418.00 | $948.00 | $2,012.00 | |
Wellcare
| Facility | $6,801.00 | $10,000.00 | $10,000.00 |