| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,410.00 | $7,944.78 | $12,615.00 | |
Aetna
| Professional | $618.00 | $1,849.00 | $21,648.00 | |
United
| Facility | $4,015.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $100.00 | $100.00 | $100.00 |