| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.64 | $1,245.00 | $7,362.00 | |
Medcost
| Facility | $288.47 | $346.10 | $781.26 | |
United
| Facility | $1,127.93 | $3,456.00 | $6,543.00 | |
Wellcare
| Facility | $2,051.14 | $3,728.65 | $12,000.00 |