| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.58 | $1,949.84 | $7,585.78 | |
Medcost
| Facility | $1,174.90 | $1,659.59 | $2,691.53 | |
United
| Facility | $1,174.90 | $3,890.45 | $6,918.31 | |
Wellcare
| Facility | $56.23 | $9,549.93 | $9,549.93 |