| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.18 | $1,082.83 | $7,439.00 | |
Medcost
| Facility | $688.18 | $947.67 | $1,704.97 | |
United
| Facility | $1,172.00 | $4,086.00 | $7,778.00 | |
Wellcare
| Facility | $55.00 | $5,831.46 | $7,059.87 |