| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,659.59 | $7,585.78 | $8,709.64 | |
Aetna
| Professional | $1,288.25 | $1,659.59 | $5,248.07 | |
United
| Facility | $776.25 | $2,137.96 | $4,265.80 | |
Wellcare
| Facility | $56.23 | $56.23 | $56.23 |