| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $1,202.26 | $7,413.10 | |
Medcost
| Facility | $177.83 | $263.03 | $416.87 | |
United
| Facility | $2,511.89 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $9,332.54 | $9,332.54 | $28,840.32 |