| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $436.52 | $1,202.26 | $10,471.29 | |
Medcost
| Professional | $478.63 | $478.63 | $645.65 | |
Medcost
| Facility | $316.23 | $436.52 | $630.96 | |
United
| Facility | $1,380.38 | $3,890.45 | $6,760.83 | |
Wellcare
| Facility | $5,623.41 | $5,623.41 | $33,884.42 |