| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $380.19 | $1,202.26 | $7,762.47 | |
Medcost
| Facility | $234.42 | $338.84 | $549.54 | |
United
| Facility | $1,995.26 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $5,495.41 | $5,495.41 | $28,840.32 |