| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $941.28 | $7,944.78 | $11,986.00 | |
Medcost
| Facility | $920.70 | $1,080.00 | $1,371.90 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $5,183.04 | $6,499.50 | $26,542.00 |