| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $237.28 | $1,615.00 | $10,924.00 | |
Medcost
| Facility | $144.00 | $225.75 | $466.71 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $55.00 | $629.67 | $87,223.00 |