| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $530.24 | $6,344.07 | $8,851.81 | |
Medcost
| Facility | $503.00 | $607.66 | $1,268.81 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $2,487.94 | $7,592.40 |