| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $627.58 | $2,884.72 | $5,449.00 | |
Medcost
| Facility | $399.26 | $554.96 | $1,018.37 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,520.36 | $9,388.90 | $12,000.00 |