| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.52 | $6,735.00 | $10,780.34 | |
Medcost
| Facility | $302.52 | $416.40 | $714.95 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,420.55 | $9,011.04 | $11,933.00 |