| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.11 | $5,298.77 | $8,413.00 | |
Medcost
| Facility | $217.22 | $431.11 | $734.06 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $1,250.80 | $1,250.80 | $26,542.00 |