| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $470.60 | $1,615.00 | $10,561.00 | |
Medcost
| Facility | $444.81 | $673.09 | $937.52 | |
United
| Facility | $16,216.00 | $30,820.00 | $59,455.00 | |
Wellcare
| Facility | $55.00 | $2,177.10 | $77,231.80 |