| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $720.91 | $1,321.17 | $7,968.00 | |
Medcost
| Facility | $704.00 | $937.24 | $1,286.19 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $3,723.57 | $3,723.57 | $26,542.00 |