| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $499.48 | $780.16 | $7,439.00 | |
Medcost
| Facility | $499.48 | $679.55 | $1,272.08 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $55.00 | $3,308.83 | $9,388.90 |