| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $284.80 | $3,737.74 | $4,768.49 | |
Medcost
| Facility | $177.32 | $282.30 | $460.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $675.92 | $9,496.40 | $16,394.00 |