| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.29 | $1,245.00 | $7,362.00 | |
Medcost
| Facility | $32.29 | $46.77 | $80.91 | |
United
| Facility | $16,216.00 | $30,820.00 | $59,455.00 | |
Wellcare
| Facility | $55.00 | $123.88 | $1,300.00 |