| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $2,119.00 | $3,096.00 | |
Cigna
| Facility | $450.00 | $500.00 | $1,050.00 | |
United
| Facility | $400.00 | $1,038.00 | $2,012.00 | |
Wellcare
| Facility | $425.00 | $10,000.00 | $10,000.00 |