| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $453.91 | $1,245.00 | $7,439.00 | |
Medcost
| Facility | $453.91 | $568.00 | $1,153.84 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,649.72 | $8,723.79 | $16,394.00 |