| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $664.00 | $3,575.00 | $10,126.00 | |
Cigna
| Facility | $882.00 | $1,938.00 | $3,081.00 | |
United
| Facility | $558.00 | $1,279.00 | $3,488.00 | |
Wellcare
| Facility | $7,738.00 | $10,000.00 | $10,000.00 |