| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $687.42 | $1,245.00 | $8,413.00 | |
Medcost
| Facility | $653.00 | $824.90 | $1,119.58 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,983.52 | $6,817.20 | $26,542.00 |