| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $419.58 | $1,245.00 | $7,278.00 | |
Medcost
| Facility | $401.05 | $600.37 | $1,046.58 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,719.43 | $7,909.30 | $16,394.00 |