| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $891.35 | $1,354.85 | $7,439.00 | |
Medcost
| Facility | $774.00 | $1,067.34 | $2,160.17 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $4,954.26 | $16,394.00 | $16,547.20 |