| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $328.81 | $6,735.00 | $9,392.00 | |
Medcost
| Facility | $311.87 | $580.38 | $893.45 | |
United
| Facility | $11,832.00 | $23,512.00 | $39,350.00 | |
Wellcare
| Facility | $1,234.52 | $26,542.00 | $42,800.00 |