| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $352.66 | $1,245.00 | $8,413.00 | |
Medcost
| Facility | $333.57 | $470.62 | $737.06 | |
United
| Facility | $11,832.00 | $23,512.00 | $39,350.00 | |
Wellcare
| Facility | $1,305.04 | $11,933.00 | $76,496.95 |