| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.89 | $2,825.92 | $4,878.00 | |
Medcost
| Facility | $211.98 | $291.52 | $546.14 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $815.16 | $5,444.45 | $16,394.00 |