| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $339.25 | $1,338.00 | $8,413.00 | |
Medcost
| Facility | $321.56 | $500.44 | $709.03 | |
United
| Facility | $3,366.00 | $11,157.00 | $62,179.00 | |
Wellcare
| Facility | $55.00 | $1,275.56 | $10,168.04 |