| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.16 | $1,245.00 | $10,561.00 | |
Medcost
| Facility | $676.16 | $764.90 | $1,145.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,825.90 | $5,819.45 | $26,542.00 |