| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $317.56 | $1,955.70 | $7,278.00 | |
Medcost
| Facility | $250.37 | $411.09 | $678.21 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,591.73 | $9,133.70 | $16,394.00 |