| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.94 | $688.70 | $7,278.00 | |
Medcost
| Facility | $200.74 | $505.67 | $925.96 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,257.00 | |
Wellcare
| Facility | $1,127.40 | $1,127.40 | $16,394.00 |