| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $598.78 | $8,432.00 | $15,260.00 | |
Medcost
| Facility | $591.16 | $821.32 | $1,214.69 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $55.00 | $3,435.48 | $57,685.10 |