| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $446.89 | $5,738.04 | $6,735.00 | |
Medcost
| Facility | $290.47 | $1,006.89 | $1,940.45 | |
United
| Facility | $2,437.46 | $9,447.00 | $14,257.00 | |
Wellcare
| Facility | $1,608.05 | $1,608.05 | $26,542.00 |