| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,044.00 | $5,127.85 | $9,621.24 | |
Medcost
| Facility | $301.08 | $399.03 | $753.01 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,737.70 | $1,737.70 | $26,542.00 |