| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.98 | $4,148.00 | $10,952.32 | |
Medcost
| Facility | $238.44 | $405.35 | $634.20 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $901.52 | $9,011.04 | $16,394.00 |