| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $382.17 | $3,996.50 | $7,439.00 | |
Medcost
| Facility | $382.17 | $649.69 | $973.15 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,433.40 | $11,952.05 | $26,542.00 |