| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $685.83 | $1,245.00 | $8,413.00 | |
Medcost
| Facility | $633.00 | $823.00 | $1,097.33 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,958.44 | $6,817.20 | $26,542.00 |