| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.88 | $4,376.00 | $7,278.00 | |
Medcost
| Facility | $383.72 | $482.82 | $1,016.78 | |
United
| Facility | $3,366.00 | $9,541.00 | $14,589.00 | |
Wellcare
| Facility | $1,515.12 | $12,000.00 | $60,422.70 |