| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $773.22 | $5,345.92 | $10,067.01 | |
Medcost
| Facility | $500.04 | $688.91 | $1,282.84 | |
United
| Facility | $3,500.00 | $8,984.00 | $13,997.00 | |
Wellcare
| Facility | $1,894.32 | $9,558.29 | $26,542.00 |