| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.30 | $1,245.00 | $7,968.00 | |
Medcost
| Facility | $500.30 | $655.00 | $1,259.35 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,346.60 | $12,623.50 | $26,542.00 |