| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $950.72 | $1,538.91 | $7,278.00 | |
Medcost
| Facility | $950.72 | $1,299.65 | $2,405.89 | |
United
| Facility | $3,500.00 | $8,984.00 | $13,997.00 | |
Wellcare
| Facility | $4,482.60 | $14,302.50 | $16,394.00 |