| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,181.00 | $4,922.05 | $7,968.00 | |
Aetna
| Professional | $650.00 | $1,245.00 | $7,278.00 | |
Medcost
| Facility | $1,670.21 | $1,670.21 | $2,363.51 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |