| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.18 | $1,615.00 | $7,278.00 | |
Medcost
| Facility | $221.18 | $313.00 | $556.40 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,432.41 | $13,759.35 | $16,394.00 |