| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $988.40 | $5,994.00 | $7,993.00 | |
Medcost
| Facility | $631.66 | $880.85 | $1,613.23 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $2,384.36 | $9,388.90 | $26,542.00 |