| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.79 | $3,531.51 | $8,413.00 | |
Medcost
| Facility | $478.79 | $716.00 | $1,226.40 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,743.68 | $9,388.90 | $26,542.00 |