| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.31 | $3,982.14 | $6,915.00 | |
Medcost
| Facility | $193.81 | $284.00 | $507.18 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,256.92 | $9,133.70 | $16,394.00 |