| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,937.00 | $7,628.00 | $9,879.00 | |
Cigna
| Facility | $1,250.00 | $2,000.00 | $3,508.00 | |
United
| Facility | $500.00 | $1,182.00 | $3,032.00 | |
Wellcare
| Facility | $13,383.00 | $13,383.00 | $13,383.00 |