| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $518.47 | $7,439.00 | $7,724.00 | |
Medcost
| Facility | $518.47 | $712.92 | $1,324.20 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,970.12 | $9,388.90 | $26,542.00 |