| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $612.65 | $1,245.00 | $7,278.00 | |
Medcost
| Facility | $511.00 | $692.29 | $1,462.46 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $3,418.98 | $16,394.00 | $16,547.20 |