| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $539.22 | $1,181.00 | $7,439.00 | |
Medcost
| Facility | $539.22 | $691.24 | $1,016.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,069.96 | $7,909.30 | $16,394.00 |