| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $3,630.78 | $8,709.64 | |
Medcost
| Facility | $204.17 | $977.24 | $2,398.83 | |
United
| Facility | $6,760.83 | $15,488.17 | $22,908.68 | |
Wellcare
| Facility | $56.23 | $52,480.75 | $52,480.75 |