| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $361.55 | $3,195.50 | $4,951.00 | |
Medcost
| Facility | $241.69 | $353.96 | $592.82 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $55.00 | $1,600.62 | $9,388.90 |