| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $690.84 | $1,181.00 | $7,278.00 | |
Medcost
| Facility | $654.00 | $723.00 | $983.94 | |
United
| Facility | $2,526.00 | $7,659.00 | $10,502.00 | |
Wellcare
| Facility | $3,602.16 | $6,887.55 | $16,394.00 |