| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.14 | $2,440.00 | $5,449.00 | |
Medcost
| Facility | $356.14 | $490.48 | $909.40 | |
United
| Facility | $5,293.00 | $12,216.00 | $19,066.00 | |
Wellcare
| Facility | $1,358.36 | $9,388.90 | $12,000.00 |