| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $555.01 | $3,845.30 | $9,742.20 | |
Medcost
| Facility | $531.48 | $660.00 | $1,384.61 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,664.05 | $6,817.20 | $26,542.00 |