| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,552.72 | $7,332.00 | $11,855.00 | |
Cigna
| Facility | $1,433.00 | $3,750.00 | $5,695.00 | |
United
| Facility | $596.00 | $1,315.00 | $4,472.00 | |
Wellcare
| Facility | $13,383.00 | $13,383.00 | $13,383.00 |