| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.99 | $1,245.00 | $7,278.00 | |
Medcost
| Facility | $193.66 | $314.85 | $461.65 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $1,238.79 | $9,133.70 |