| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $783.81 | $2,379.26 | $5,449.00 | |
Medcost
| Facility | $783.81 | $991.00 | $1,942.78 | |
United
| Facility | $2,353.00 | $6,575.00 | $9,616.00 | |
Wellcare
| Facility | $55.00 | $4,463.58 | $7,592.40 |