| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $5,248.07 | $8,709.64 | |
Medcost
| Facility | $144.54 | $169.82 | $245.47 | |
United
| Facility | $2,511.89 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $56.23 | $9,332.54 | $9,332.54 |