| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.54 | $3,819.00 | $8,333.41 | |
Medcost
| Facility | $242.31 | $413.80 | $567.32 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,289.58 | $1,289.58 | $16,394.00 |