| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,020.00 | $5,994.00 | $11,916.79 | |
Aetna
| Professional | $544.46 | $994.08 | $2,396.80 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $2,800.00 | $2,800.00 | $2,800.00 |