| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $596.13 | $4,148.00 | $7,278.00 | |
Medcost
| Facility | $596.13 | $819.76 | $1,523.94 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $2,821.95 | $14,302.50 | $16,394.00 |