| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.91 | $6,384.00 | $32,187.20 | |
Medcost
| Facility | $374.73 | $526.64 | $826.91 | |
United
| Facility | $22,810.00 | $44,645.00 | $93,339.00 | |
Wellcare
| Facility | $2,946.48 | $27,823.00 | $142,675.35 |