| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $417.31 | $8,002.00 | $9,459.00 | |
Medcost
| Facility | $256.13 | $424.81 | $686.43 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,688.89 | $9,133.70 | $26,542.00 |