| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $325.43 | $2,536.00 | $15,291.00 | |
Medcost
| Facility | $306.89 | $452.37 | $680.15 | |
United
| Facility | $22,810.00 | $42,428.00 | $93,042.00 | |
Wellcare
| Facility | $55.00 | $2,431.67 | $143,001.50 |