| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $831.76 | $2,344.23 | $8,128.31 | |
Medcost
| Facility | $478.63 | $630.96 | $1,122.02 | |
United
| Facility | $1,995.26 | $7,244.36 | $10,471.29 | |
Wellcare
| Facility | $6,918.31 | $6,918.31 | $28,840.32 |