| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.41 | $1,338.29 | $10,924.00 | |
Medcost
| Facility | $793.74 | $1,174.52 | $1,900.05 | |
United
| Facility | $10,829.00 | $22,655.00 | $29,047.00 | |
Wellcare
| Facility | $55.00 | $5,844.88 | $7,248.80 |