| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.58 | $6,456.54 | $10,232.93 | |
Aetna
| Professional | $158.49 | $602.56 | $1,862.09 | |
United
| Facility | $186.21 | $758.58 | $1,949.84 | |
Wellcare
| Facility | $56.23 | $56.23 | $56.23 |