| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.57 | $1,217.83 | $10,924.00 | |
Medcost
| Facility | $752.18 | $850.12 | $1,427.92 | |
United
| Facility | $1,728.00 | $3,733.00 | $6,543.00 | |
Wellcare
| Facility | $3,544.95 | $6,887.55 | $26,542.00 |