| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $554.78 | $7,687.99 | $21,483.45 | |
Medcost
| Facility | $328.57 | $468.31 | $725.42 | |
United
| Facility | $11,832.00 | $23,512.00 | $39,350.00 | |
Wellcare
| Facility | $1,622.15 | $11,933.00 | $42,720.35 |