| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.58 | $1,659.59 | $8,317.64 | |
Medcost
| Facility | $912.01 | $1,174.90 | $1,819.70 | |
United
| Facility | $2,454.71 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $8,511.38 | $8,511.38 | $45,708.82 |