| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.49 | $918.56 | $10,561.00 | |
Medcost
| Facility | $571.20 | $639.74 | $898.24 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,230.28 | $6,887.55 | $26,542.00 |