| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.49 | $1,113.89 | $7,968.00 | |
Medcost
| Facility | $466.49 | $936.98 | $1,296.17 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,302.40 | $3,302.40 | $26,542.00 |