| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.63 | $1,191.76 | $7,439.00 | |
Medcost
| Facility | $759.63 | $911.56 | $1,196.35 | |
United
| Facility | $1,064.00 | $3,906.00 | $6,388.00 | |
Wellcare
| Facility | $55.00 | $3,563.00 | $4,295.75 |