| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $6,456.54 | $28,183.83 | |
Medcost
| Facility | $380.19 | $575.44 | $933.25 | |
United
| Facility | $2,754.23 | $9,549.93 | $14,454.40 | |
Wellcare
| Facility | $56.23 | $10,964.78 | $10,964.78 |