| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $721.31 | $1,175.20 | $8,413.00 | |
Medcost
| Facility | $698.23 | $827.51 | $1,062.00 | |
United
| Facility | $3,500.00 | $8,736.00 | $13,997.00 | |
Wellcare
| Facility | $3,966.00 | $9,001.70 | $26,542.00 |