| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.46 | $4,880.00 | $8,573.67 | |
Medcost
| Facility | $147.02 | $191.38 | $390.69 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $710.45 | $9,496.40 | $12,000.00 |