| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $227.62 | $2,021.22 | $12,245.00 | |
Medcost
| Facility | $227.62 | $383.90 | $569.00 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $853.96 | $16,394.00 | $31,231.30 |