| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.74 | $1,659.59 | $6,918.31 | |
Medcost
| Facility | $208.93 | $870.96 | $1,995.26 | |
United
| Facility | $1,995.26 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $56.23 | $5,495.41 | $5,495.41 |