| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $279.93 | $5,457.02 | $8,503.37 | |
Medcost
| Facility | $184.74 | $295.00 | $512.35 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $911.43 | $911.43 | $26,542.00 |