| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.75 | $594.41 | $5,449.00 | |
Medcost
| Facility | $307.75 | $529.20 | $1,116.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,485.21 | $2,485.21 | $12,000.00 |