| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.82 | $1,245.00 | $7,362.00 | |
Medcost
| Facility | $312.19 | $476.80 | $685.14 | |
United
| Facility | $2,437.46 | $9,447.00 | $14,257.00 | |
Wellcare
| Facility | $55.00 | $1,830.60 | $9,011.04 |