| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $796.59 | $1,140.98 | $7,439.00 | |
Medcost
| Facility | $796.59 | $992.75 | $1,993.14 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $5,914.08 | $16,547.20 |