| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $880.35 | $1,226.53 | $10,561.00 | |
Medcost
| Facility | $848.00 | $962.00 | $1,283.08 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $4,865.64 | $6,103.44 | $26,542.00 |