| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $669.46 | $7,807.34 | $9,459.00 | |
Medcost
| Facility | $442.00 | $595.00 | $1,131.00 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $2,962.75 | $16,223.75 | $26,542.00 |