| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $575.44 | $1,513.56 | $10,471.29 | |
Medcost
| Facility | $426.58 | $602.56 | $933.25 | |
United
| Facility | $2,511.89 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $8,709.64 | $8,709.64 | $33,884.42 |