| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.76 | $3,461.15 | $14,528.00 | |
Medcost
| Facility | $228.62 | $1,033.24 | $2,042.15 | |
United
| Facility | $3,366.00 | $9,447.00 | $14,257.00 | |
Wellcare
| Facility | $1,144.47 | $1,144.47 | $26,542.00 |