| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.00 | $7,439.00 | $9,459.00 | |
Medcost
| Facility | $209.22 | $361.14 | $525.66 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $55.00 | $1,358.00 | $17,070.15 |