| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $92.30 | $2,577.00 | $15,260.00 | |
Medcost
| Facility | $92.30 | $118.17 | $181.49 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,628.00 | |
Wellcare
| Facility | $207.37 | $15,816.20 | $26,542.00 |