| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,078.00 | $5,498.00 | $10,126.00 | |
Cigna
| Facility | $1,103.00 | $2,500.00 | $4,741.00 | |
United
| Facility | $500.00 | $1,312.00 | $3,840.00 | |
Wellcare
| Facility | $13,383.00 | $13,383.00 | $13,383.00 |