| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.91 | $5,177.00 | $7,493.57 | |
Medcost
| Facility | $93.86 | $152.91 | $273.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $354.40 | $5,444.45 | $12,000.00 |