| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $311.98 | $1,245.00 | $7,278.00 | |
Medcost
| Facility | $311.98 | $474.00 | $810.27 | |
United
| Facility | $2,353.00 | $6,885.00 | $9,616.00 | |
Wellcare
| Facility | $1,806.48 | $9,388.90 | $16,394.00 |