| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,058.92 | $6,953.60 | $10,034.00 | |
Aetna
| Professional | $1,245.00 | $8,442.00 | $10,561.00 | |
United
| Facility | $2,353.00 | $6,885.00 | $9,616.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |