| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.93 | $1,350.00 | $7,439.00 | |
Medcost
| Facility | $145.93 | $211.74 | $356.43 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $962.64 | $9,388.90 |