| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $414.25 | $1,338.00 | $8,413.00 | |
Medcost
| Facility | $398.20 | $510.02 | $1,033.33 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,934.90 | $9,496.40 | $26,542.00 |