| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.57 | $3,457.50 | $7,278.00 | |
Medcost
| Facility | $139.54 | $186.32 | $358.03 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $932.26 | $9,133.70 | $16,394.00 |