| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.52 | $1,245.00 | $7,278.00 | |
Medcost
| Facility | $202.52 | $302.19 | $481.46 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $1,292.83 | $18,965.00 |