| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,445.44 | $4,265.80 | $7,585.78 | |
Aetna
| Professional | $128.82 | $316.23 | $2,691.53 | |
United
| Facility | $2,511.89 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $56.23 | $56.23 | $56.23 |