| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $309.04 | $4,001.00 | $32,368.72 | |
Medcost
| Facility | $210.07 | $357.12 | $555.09 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $788.16 | $11,082.10 | $43,926.00 |