| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $672.00 | $5,923.27 | $9,395.10 | |
Medcost
| Facility | $368.00 | $476.53 | $932.43 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $2,191.69 | $2,191.69 | $26,542.00 |