| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.03 | $1,659.59 | $8,128.31 | |
Medcost
| Facility | $194.98 | $234.42 | $371.54 | |
United
| Facility | $2,818.38 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $56.23 | $9,120.11 | $9,120.11 |