| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $978.38 | $1,488.45 | $7,439.00 | |
Medcost
| Facility | $978.38 | $1,255.65 | $2,457.87 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $6,426.42 | $7,890.05 |