| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $700.71 | $4,376.00 | $7,278.00 | |
Medcost
| Facility | $700.71 | $924.00 | $1,760.35 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $4,583.18 | $16,394.00 | $16,547.20 |