| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.15 | $10,087.00 | $11,299.00 | |
Medcost
| Facility | $333.15 | $453.00 | $838.56 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,185.89 | $13,759.35 | $26,542.00 |