| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $721.15 | $5,994.00 | $7,656.49 | |
Medcost
| Facility | $624.98 | $841.36 | $1,462.07 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $3,130.85 | $6,817.20 |