| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.57 | $983.19 | $6,953.60 | |
Medcost
| Facility | $691.76 | $892.55 | $1,744.87 | |
United
| Facility | $6,688.00 | $15,545.00 | $22,780.00 | |
Wellcare
| Facility | $55.00 | $4,614.26 | $5,665.24 |