| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $308.16 | $5,994.00 | $7,535.00 | |
Medcost
| Facility | $204.75 | $327.00 | $548.95 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,351.21 | $9,133.70 | $26,542.00 |