| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $483.27 | $1,245.00 | $6,953.60 | |
Medcost
| Facility | $483.27 | $660.84 | $1,226.06 | |
United
| Facility | $2,526.00 | $7,162.00 | $10,502.00 | |
Wellcare
| Facility | $1,830.96 | $9,388.90 | $12,000.00 |