| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $381.30 | $903.00 | $7,362.00 | |
Medcost
| Facility | $376.03 | $403.97 | $552.10 | |
United
| Facility | $361.00 | $896.00 | $2,229.00 | |
Wellcare
| Facility | $2,124.36 | $6,887.55 | $12,000.00 |