| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $501.19 | $1,659.59 | $8,128.31 | |
Medcost
| Facility | $398.11 | $489.78 | $776.25 | |
United
| Facility | $1,698.24 | $3,890.45 | $6,760.83 | |
Wellcare
| Facility | $6,918.31 | $6,918.31 | $19,498.45 |