| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,245.00 | $8,442.00 | $16,446.41 | |
Medcost
| Facility | $344.92 | $476.81 | $877.36 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,289.77 | $9,388.90 | $26,542.00 |