| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.02 | $1,130.11 | $7,439.00 | |
Medcost
| Facility | $629.16 | $922.43 | $1,576.75 | |
United
| Facility | $905.00 | $2,417.00 | $4,102.00 | |
Wellcare
| Facility | $55.00 | $7,367.36 | $9,001.85 |