| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $714.22 | $3,192.00 | $7,993.00 | |
Medcost
| Facility | $455.61 | $755.74 | $958.68 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,681.52 | $9,011.04 | $26,542.00 |