| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $774.51 | $1,200.94 | $7,439.00 | |
Medcost
| Facility | $770.00 | $999.81 | $1,946.08 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $11,841.44 | $14,374.24 |