| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $759.49 | $1,225.09 | $12,247.00 | |
Medcost
| Facility | $759.98 | $835.98 | $1,185.79 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $4,296.89 | $6,887.55 | $26,542.00 |