| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.80 | $4,311.00 | $11,072.99 | |
Medcost
| Facility | $327.80 | $393.36 | $803.14 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,538.35 | $9,496.40 | $12,000.00 |