| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.58 | $676.08 | $10,471.29 | |
Medcost
| Facility | $181.97 | $323.59 | $616.60 | |
United
| Facility | $363.08 | $812.83 | $1,949.84 | |
Wellcare
| Facility | $2,511.89 | $2,511.89 | $33,884.42 |