| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $458.83 | $903.00 | $7,362.00 | |
Medcost
| Facility | $458.83 | $586.00 | $784.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,593.56 | $6,887.55 | $12,000.00 |