| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $500.57 | $2,132.16 | $8,413.00 | |
Medcost
| Facility | $500.57 | $584.32 | $767.00 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,238.80 | $6,887.55 | $26,542.00 |