| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.47 | $1,245.00 | $7,362.00 | |
Medcost
| Facility | $386.00 | $499.30 | $1,079.68 | |
United
| Facility | $2,353.00 | $6,575.00 | $9,616.00 | |
Wellcare
| Facility | $5,218.72 | $6,248.33 | $12,000.00 |