| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $594.24 | $8,801.00 | $15,558.33 | |
Medcost
| Facility | $562.07 | $706.69 | $1,413.59 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,644.34 | $9,496.40 | $26,542.00 |