| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $702.24 | $1,181.00 | $7,439.00 | |
Medcost
| Facility | $690.00 | $737.35 | $1,058.58 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,950.88 | $6,887.55 | $16,394.00 |